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Mar. 29. 2017 10 : 14AM No, 5097 P. 2/4 <br /> I ERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-2578810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTY A%# I <br /> R U—) n C . I MnosLEGAL for new Construction, Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Phone/E-mail <br /> Address City/state/Zip <br /> APPLICANT:—Owner _Owner's Agent X Contractor _contractor's Agent _Tenant(rnuat provide a etter of consent from the owner to do svQrk ir,the-pow) <br /> CONTRACTOR G&S HEATING State Lic.#t GSHEAC*930RK City Bus. Lic,# 019685 <br /> Address 3409 EVERETT AVE Phone/Email 425- -4402 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> DAWN WEIMER 4252-4402 DAWN GSHEATIN .CON <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF W K Ltd, 00 <br /> Existing Use of Building NEAT RC <br /> Proposed Use of Building Gas Electric Other <br /> Building type: _Single Family _Duplex—Townhouse _Multi-Family _Commercial <br /> "-- <br /> Tvpe of ro ect: New Addition Remodel Repair T.[. Sin S rinkler Derno ition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _Naw_Addn�4lteration_Repair Type of project: _New—_Addn _Alteration_Repair <br /> Show Number # of Fixtures Show Number of fixtures <br /> A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas p1pino Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes d er Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc. <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease tra <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 Misapplication and know the same to be true and correct.All 1DrovsSi0ns of taws ynd ordinances governing this type of work will be comp) <br /> with whether speCined herein or not.The granting of a permit does not presume to give authodty to violate or cancel the provision of any other state or local law 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 SlAte ConlraCtors Law 18.27 RCW and 296.200A WAC. <br /> Owner/Adthorized Agent SignatureD� ate (Revised 9/2(794) <br />