Laserfiche WebLink
Se��. 13, 2016 3:42PM � <br />� No.3762 P, 1 <br />PERMIT APPLICATION <br />BUlLD1NC/IVr�CHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT P�RIVII�" SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />SITEADDRESS: ��� V�GVV �U��,� �1` �oPj�0�7�OOO�p7j�b d1/� I#�„w/;��;� <br />W1 � ' 1 11 I <br />LECAL for new construction: Short PlaUsubdivision Lok No. (attech copy of long legal description) <br />OWNER ��, W�PJ��[J � Phone/E-mail y �— Z�J� " �� Z-� <br />Ad�Jress �� � �I �� ' �1C � Ciry/State/Zip �v�� �,I� � � ^ "� <br />APPLICAN7: _ Owner ,_ Ov✓ner'S Agenf X ContraCtor _ CantractoPs Agznt _ Tenant �muet provide a �cher e� �nneen� �rom t�e wvner �o Go wcrk �n tno :paco) <br />CONTRACTOR G8�S HEATIf�IG Stare Lic. # GSHEAC'°930RK City Bus. �ic. # 019685 <br />Address 34�9 EVERETT AV� Phan�Email 425-252-4402 <br />BUILDING PERMIT APPLICATION <br />CONTACT FOR PERMIT <br />DAWN WEIMER 425-252-4402 �AWN@GSHEATIN .COM <br />Phone/E•mail <br />GONTRACT PR[C� OF WORK D.+-� <br />EXiStIRg Use of Building f'1Ct�`l'� HEAT SOURCE: <br />Proposed Use of Building�p.lvl�i Gas Electrlc <br />���, <br />6uilding type: �Sin le Family _ Duplex_Townhouse � Multi-Family _ Commercia{ <br />Type of proiect: (/ New ,Addition Remodel Repair T,I, SIgf1 Sprinkier Demolition_Char <br />DESCRIPTION OF WORK (edditional sp&ce provfded on tre bacx)- <br />�HIECH4NICAL PERMIT APPLICAT101� <br />Type of Project: Nsw_ �Addn �Iteration _Repsir <br />ShowNumeer i� olflxfures <br />A/C — air handiin units <br />Forced air sVstems <br />Gas i in <br />Water heater <br />Clothes drye <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Other <br />ER / SUPPRESS[Ohr SYSTEM <br />Number of Heads <br />Other <br />oP Use <br />PLUMBING PERMIT APPLICATION <br />7ypa o} Projsct: _New„_�1ddn �Iteration _Repair <br />SHow Numbar (#) a! flxturas <br />I Toifet <br />L2.vatorY (wash <br />Snower <br />Kitchen sink & c <br />Dishwasher <br />Clothes washer <br />Water heater <br />Backflow pf2verl <br />Urinal <br />Drinklna Fountai <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Ofher: <br />0 <br />I hereDy certify that I have read and examinod this applicatlon snQ know the same to be true and correct. All provisions of laws dnd 0�'dirtdnCts gOv@ming lhis type o1 wark wifl De campl <br />with wnetner apeclfied hereln or not. The p�drltiA9 oF s perm¢ Qoee not presume to glve authonty to vlole[e or cancsl the pravision of mny othe�state a� ler�i Isw regwsting cons�rucuon <br />Tnat I em euthonze by �a owner t7tis properiy,to pertorm tne work for wh�h s pYcaUon is made and I cvmply wiV7 th� StRle Cont�clors L�w 18.27 RCW snd 289.200A WAC. <br />� �� 2 / (� <br />OwnerlAuthorizetl Agen 1� ture ate (Revised 9/2014) <br />