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Ma r, 13, 2017 9 ; 55AM Nn, 5033 P, 2 <br /> PERMIT APPLICATI <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINK[��R/DEIV�OLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St_, Everett, wA 98201 425-257-8810 FAX 425-257-SS57 www.everettwa_org <br /> SITE AdDR6SS: PROPERTY TAX tt `� T¢� <br /> � ` <br /> LEGAL for new construction: ShoR Plat/subdivision Lot No_ (attach capy oF long legal deserlption} <br /> OWNER '� Phone�E-mail � � �ll; "(.}� <br /> Addres � Ci[y/State/Zlp '��1 V-ar� �D v� <br /> APPLICANT:_Owner _Owner's Agent X Contractor _Contractors Agent _Tenant�muac provia6 e ien�r aconaenrrrom�na o�n�r,er to tlowor�c in tna space) <br /> coNTRACTOR G&S HEATING State I.ic, # GSHEAC4930RK City Bus. l.ic.# 019685 <br /> Aadrass 3409 EVERETT AVE Phonel�ma�i 425-252-4402 <br /> TENANT BUSINESS NAME CDNTACT FOR PERMIT <br /> 17AWN WEIM�R 425-252-4402 DAWN@GSHEA7IN CON <br /> Phone/E-mail <br /> BUILbING PEItIVI�'i' APP��CATION CONTRACT PRICE OF WORK �f���;,,�rs <br /> Existing Use of Buifding HEAT SOURCE: <br /> PrppoSed Use of Building G Electric Ofher <br /> Building type: _Singla Family _Duplex_7ownhouse _Multi-Family _Commercial <br /> T e of ro'ect= New qdditlon Remode[ Re air T,I, Si n S rinkler Demo(ition Ghan e of U58 <br /> 1��5CRIPTION OF WORK(additiona/spece provided on the bsck): <br /> ��ac� C� ��-�-' <br /> MECHANICAL PERMIT APPLICATION PLUMB[NG PERM[T APPLIC4TION <br /> Type of Project: _New_flddn�Alteration_Repair Type of Project: _New_Addn _Afteration_Repair <br /> 5how Number # of fixtures Show Number #E of fi�c2ures <br /> A/C—air handfin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavato (wash basin <br /> Water heater Shower <br /> Gas fire lace Kltchen sink&dls osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc. <br /> Heat um Backflow reventer <br /> Unit heater Urina� <br /> 6oi�er Drinkinq Fountain <br /> Refri eration Ffoor drain <br /> woodstove Grease tra <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER /SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I heceby certiry that I nave read and exam�ne0 this appf�aUon and know trte same to be Irue and correct,Arl provisions of laws and ord�n�,nces floverninp thia lypc of work will be compl <br /> with whether spec� d herein or not.Tha granting oi a permit does not presume to give authority to violete or cencel the provision of eny other stata or local lew reguleting conetructlon <br /> Tf1a�t I AI'�1 2�UtlloYl" d by thG oW1121'Of l%IS pl'OpCYty l0 pErfoml llle WO�k for WI1iCl1 applfCAtlOn IS p1atlC At1d�Compfy With tne StdtG Conl�aCtO�E LdW 18.27 RCW�nd 296.200A WAC. <br /> / ���I 1� <br /> Ownar/Authorizsd Agont Slgnaturs Date (Revised 9/2094) <br />