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Feb. 21. 2017 2 : 45FM No. 4898 F. 2 <br /> *ERMIT APPLICATI09 <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLEP,/DEMOLITION <br /> . CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.eveFettwa.org <br /> SITE ADDRESS: PROPERTY TAX it P T <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Phone/E-mail <br /> Address City/state/Zip 'C� "I" lJ�.. <br /> APPLICANT:—Owner _Owner's Agent X Contractor _Contra.etor's Agent _Tenant lmu!t prop de a atter or conaent iron,the ownerto do work In the apace) <br /> CONTRACTOR G&S HEATING state Lic.# GSHEAC*930RK 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@GSHEATIN .CON <br /> Phone/E-mall <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �ldC)6?. CYC <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.1. Sign Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> pw et'�' pulf <br /> M CHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New__Addn &-A[teration_Repair Type of Project: _Naw_Addn _Alteration_Repair <br /> Show Number(;<e of fixtures Showftmberff of fixtures <br /> A/C—air handling units Toilet <br /> Forcod airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink service/bar/mo lett. <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Duc;tIng Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby Certify that t have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp) <br /> with whether specified herein or not The grarting of a permit does not presume to give authority to violate or cancel the provision of any other state or local few regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and i comply with the State Contractors Law 10.27 RCW and 295.200A WAC. <br /> /I ­ 2(z1 11-1 <br /> Owner prized Agent Signature Date (Revised 9/2014) <br />