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May. 20. 2016 3 : 09PM No. 2948 P. 2 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTY TAX <br /> �`g d O 17(.)0/—>e10(0 <br /> T#� <br /> 1,,iS' Gr> ` Sfi}t 6 V �tr< / e10(0 <br /> LEGAL for new construction: Short PlaUsubdivislon Lot No. (attach copy of long legal description) <br /> OWNER t'a.NTICI Vat.lt Phone/E-mail l4')y--1, t – lil( <br /> Address ‘t.-i0c-- e–tN. yc-'� city/statafzip j atz(6-\--ILM4 '7 t _ <br /> APPLICANT:_Owner _Owner's Agent X Contractor Contractor's Agent _Tenant(must provide a letter or consent from the owner to do won;in the specs) <br /> CONTRACTOR G&S HEATING State Lic.# GSHEAC*O3ORK City Bus. Lic.# 019685 <br /> Address 3409 EVERETT AVE Phone/Email 425-252-4402 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> DAWN WEIMER 425-252-4402 DAWN@GSHEATING.CO <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK Q000, 6 (] <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas . Electric Other <br /> Building type: Single Family Duplex Townhouse Multi-Family Commercial <br /> Type of project: New , Addition Remodel Repair T.I. Sign Sprinkler Demolition ,Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 1 & AAL,L, b o_)( 0-c- fa <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: Now_Acidn .1,Alteratlon Repair Type of Project: _Now Addis _Alteratlon Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures , <br /> k NC–air handling units Toilet <br /> – Forced air systems Bathtub <br /> Gas pipin� r Lavatory_(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal _ <br /> Gas ranee _ Dishwasher <br /> Clothes dryer clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater _ _ Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration _ Floor drain <br /> Woodstove Grease trap <br /> DuctingRoof drains <br /> Other _ Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby earthy that I Nave mad and examined his application end know the same to be true and correct.All provisions of laws end ordinances governing Ihis type of work will be comps <br /> with whether specified herein or not.The gra nling of a permit does not presume to give authority to violate or cancel the provision o f any other stale or local law regulating construction <br /> That I em authorized by the owner or this pro perly to perform the work for which application is made and I comply with the Slate Contractors La w 16.27 ROW and 256.200A WAC. <br /> 1 C i'Diglj <br /> pw er/Authorized Agent Signature Dale (Revised 912014) <br />