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Sep. 14, 2016 10: 14AM <br />No.3772 P, 3 <br />i i <br />PERM[T APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />C[TY OF EVERETT PERMIT SERVIGES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />51TEADDRESS: ��Q ���� ��� IPROPERTYiAX#i I P,E�R,(u1�T,# �� <br />�OW ��10'� Z.So 1 �po j'��� �li <br />�EGA� for new cvnstruction: 5nort Plat/subdivisian Lot No. (attach copy of long legal description) <br />OWNER i�'N�� k lO�'iC1U�'�il�— - Phone/E-mail �Z5 - 07�` ��c{�- <br />Address L,U�� ���� A"U � <br />APPLICANT: _ Owner _ Owners Agent %� Contractor <br />CONTRACTOR G&S HEATING <br />p.ddrese 3409 EVERETT AVE <br />TENANT BU51NES5 NAME <br />Ciry/StatelZip `, —t � 20 ( <br />Contractors Agent _ Tenant �musc pro��ea ��onor ar �on�o�c �m mo �,,,�o� � do ��k t� �nc space) <br />State �ic. # GSHEAC"930RK City Bus. Lic. # 019685 <br />Phone/Email 425�252-4402 <br />CONTqCT FOR PERMIT <br />DAWN WEIMER 425-252-4402 DAWN@GSHEA7IN .COM <br />PhOne/�-maii <br />BUILDING PERMIT aPPLICATION CONTRACT PRICE OF WORK S O�J <br />�xisting Use of Bullding �� HEAT SOURCE� <br />Proposed Use of Buiiding V��p"�� - Gas <br />Bullding type: �,,, /Single Family _ DupleX _,Townhause _ Mufti-Family _ CommerClal <br />Type of project: %� New Addition_ Remodel Repai�__ T.i. Siqn_5prinklsr_Der <br />DESCRiPTION OF WORK (addi8onal space provided on the 6acf�: <br />� �l ���l,� N�w �.7uC,"Cl��� �t��� Ac�c�P <br />MECHANICAL P�RMyT AP���C4TIQN <br />Type of Project: ��ew _Addn _Alteration _Rapalr <br />Show Number # of Fxiures <br />A/C — air handlinq units <br />Forced .air s stems <br />Gas i in <br />Water heater <br />Gas fire Iace <br />Gas ranqe <br />Range hootl <br />F�chaus# fan <br />Unif heater <br />Boiler <br />� Other <br />SPRINKLER / SUPPRESSION SYS7EM <br />Number of Heads <br />of Use <br />PLUMBING PERMIT APPLICATION <br />of Proj�ct: _New_Addn _A�teration,_,Repair <br />Snow /Yumber (#) of lfxturss <br />Toilet <br />Bathtub <br />Shower <br />Kitchen sink 3� dis <br />Ciothes w&Shef <br />Eackflow pre <br />U�ina[ <br />Drinkina Fou <br />Roof drains <br />Medical Gas <br />Other: <br />I hereby certify that I have read and axamirtsd this dppllG9tio� aRtl know t�e e�me to �e true and correcL A11 provfsions oP laws and ordinances goveming this type of wvrk will bs compl <br />wlth whethar op '6e erein ornot, Th� rdntif+g of a perrpiz aoes nol presume to glve suthorny m vlo�ete or cancel 1he provlslon of any othe� state o� Iocai law repulaiing construction <br />Thst I sm aulh n d the own¢r of ttlis roperty to pertotm [�e workTorwhfch sppllcetlon la made end I comply with the &tate Contractors Law 18.27 RCW and 298,200A WAG, <br />�" <br />owner�A orizad Agent SI ure Date (Revlsed 9/2014J <br />