Laserfiche WebLink
Jan, 4. 2017 2 ; 21 PM U- 4653 P. 2 <br /> rERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8510 FAX 425-257-5857 www.eve rettwa.0 rg <br /> SITE ADDRESS: PROPERTY TAX# IT# <br /> Gr <br /> I n 1(1,40 1 - a 5 <br /> LEGAL for new construction: Short Plat/subd!vision Lot No. (attach copy of long legal description) <br /> OWNER Phone/E-mail'UQ—(C L <br /> Adtlress �l 7F- Sfi City/State/Zip <br /> APPLICANT:_Owner _Owner's Agent X Contractor J Contractor's Agent _Tenant(must provide a letter or consent from the owner a do work iri the space) <br /> CONTRACTOR G&S BEATING 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 �'02DAWNGSHEATIN -CON <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE Or W0#K C <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 ro-act: New Addition Remodel Repair T-I, Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> MECHANICAL P19RMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: ____New_Addn �4lteration—Repair Typo of Project: _New__lddn Iteration_Repair <br /> Show Number(#)of frxfures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced 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/mop/etc—) <br /> Heat pump Backflow pTeventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstave Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this sppllcatlon and know the same to be true and correct.All provisions of laws one ordinances governing this type of work viill be comps <br /> with whether specl4ed herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law reoulating Const M1+ Jon <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 t B.27 RCW and 296.200A WAC. <br /> �Jyl1-j <br /> Ownorl th d Agent Signature I Date (Rev/sad 9/2014) <br />