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May. 16, 2017 10 : 12AM No, 5299 P. 2 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADIDESS: PROPERTY PE I �0 <br /> R <br /> �(� <br /> 3-.S E <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (allach copy of long legal description) <br /> OWNER hojTn J(A Phone/E-mail c _ <br /> Address City/Slat®/Zlp <br /> APPLICANT: Owner _Owners Agent X Contractor —Contractor's Agent _Tenant(must provlae a ieueror consent rrom the ownerlo do workln the space) <br /> CONTRACTOR G&S HEATING State Lic.# GSHEAC'930RK Cit 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-rnall <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ,�Rpf)�� . T <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas other <br /> Building type: Single Family __Duplex—Townhouse Multi-Family _Commercial <br /> Type ofproject: New Addition Remodel Repair T.I. Sin—Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additions space provided on the back) <br /> Tn-�uaU r\tUJ J QCA�e.SS KLb,� p0m( <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: !�'NeW Addn _Alteration_Repair Type of project: _New_Addn _Alteration_Repair <br /> Show Nomber'(4)of fixtaj as Show Number 4 of fixfelres <br /> A/G—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 setvicelbarinio /etc, <br /> Heat purrip Backflow preventer <br /> Unit heater Urinal <br /> Boller Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number Df Heads Other: <br /> I hereby cnrtiry that I have read and examined[his applicallon and know the same to he true and correct,All provisions or laws and ordinances governing(his type of workwill bo compl <br /> with whether specified herein or not.The granling of a parmit does not presume to give authority to violate or cancel the prov(eion of any o(her elele or local law regulating construction <br /> The I am authorizad by tho owner of this property to perform the work for which application Is made and f comply with the State contractors Law 10.27 RCW and 296.200A WAC. <br /> v "rr s <br /> Owner Author zed Agent Signature I IDat (Revised-0/2014) <br />