Laserfiche WebLink
Feb, 7. 2017 8 : 12AM No. 4812 P, 1 <br /> PERMIT API'LICATION <br /> BUILDING/MEChMA�VICAL/PLUIUIBING/SIGN/SPRINKLER/D�IVIOLITION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> S1TE ADDRESS: PROPER7YTAx# IT V <br /> �P1" �l-� �C� �I l �-(.�LD �r � 1 <br /> LEGAL for new cpn6truCtion: Short Plabsubtllvlsion Lot No. (attactt copy o4 long lagal description) <br /> OWNER `,, ,� Ph9n�E-mail �� '�Q�ja ) <br /> Address � � ,S Ciry/State/Zip �( <br /> APPl-ICANT:_Owner _Ownar'S A�9f1[ x Contractor _Contractor�S AQ6flt �TZ�B�t(must provlGe u Iettar af mn:ent from the awnar k0 do wofk in ih9 eOeGe) <br /> coNrRacroR G&S H�ATING 5tate Lic.# GSHEAC*93aRK c;ty sus, �ic.# 019685 <br /> Address 3409 EVERETT AVE Phon0�Em2il 425-252�402 <br /> TENANT SUSINESS NAME CONTAC7�OR PERMIT <br /> DAWN VV�IMER 425-252-4402 DAWN@GSMEATIN .COM <br /> Phone/E-mall <br /> BUI�D[NG PERMIT APPLICATION CONTRACT PRIGE OF WORK Z�IOb� <br /> Existing Use of Bullding HEAT SOURC�; <br /> Proposed Use ofi BUilding Gas EleCtric orhar <br /> Building type: �Sfngle Family _Duplex_Townhouse _Multi-Famlly _Comme�Cial <br /> 7 e of ro'ect: New Addition Remodel Re air T.1. 5i n S rinkler Demolltian Chan e of Use <br /> DESCfZIPT10N OF WORK(addiliona!space provided on the beck); <br /> �V.tIJ� �V� `��(�.Q/ <br /> MECHAl�ICAL P�R�I11T 4PPLICAT[ON PLUMBING PERM�'r A��[.ICATION <br /> Type of Project: _New_Addn�A Alteratlon_R�pair Type vf Project: _New_Addn _Altaration_Repalr <br /> Show Number{� of fixturcas Show Number(# of fxtures <br /> A/C—alrhandlln un�ts Toilet <br /> Forced air s stems 6athtub <br /> Gas I in Lavato (wash basir <br /> Water heater Shower <br /> Gas fire lace Kitchen sink t�dis osal <br /> Ges ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ranqe hood Water heater <br /> Exhaust fan Sink s�rvice/bar/mo /etc. <br /> Heat um Backflow reventer <br /> Unit heater urinal <br /> Boiler prinkin Fountain <br /> Refri aration Floor dra�n <br /> Woodstave Grease tra <br /> Ductin Roof drains <br /> Other Medlcal Gas <br /> Spt21NK�,E�t/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby ter�fy that I have reatl�n4 ex3rrllned m�s appilcauon and know the sama to be tnia and COntct,All AroVislOns of law$ana ordln8ncee goveming thls type of vaork will be compl <br /> whh whetherspeCifivd Ittr�in or not.The grantfng oi e permlt do6s not preaume to give authorify to violats oC CanCtl thG prpv�sio�msny otner s[ste orlocsl[ew reg�lating constructlon <br /> That I am utltonzed hy g�e owner o1 tnrs property to pertorm Ihe work For which applic3Gon is mads and i Comply w)th the Slste ContraGor9�sw 18.z�RGW ana 296200P.WAC. <br /> ��I�� <br /> OwnBrlAuthorized Agent Signature TDate (Revised 9/2014) <br />