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Jun, 19, 2017 10 : 12AM 4 No, 5460 P. 3 <br /> PERMIT 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: PROPERTYTAX41 ^ / <br /> �CC�l`CJ. <br /> LEGAL for new construction: Short PlaVsubdivision Lot No, (allach copy of long legal.descrlption) <br /> OWNER o q Phone/E-mail — t <br /> Address r City/Stale/Zlp IAIA <br /> APPLICANT: Owner _Owners Agent X Contraclor _Contractors Agent _Tenant(must provides tetter of wnsent from the owner to do m[be space) <br /> CONTRACTOR G&S HEATING State Lic.# GSHEAC`930RK City Bus. Lic.# 019685 <br /> Address 3409 EVERETT AVE Phone/Small 425-2524402 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> DAWN WEIMER 425-252-4402 DAWN@GSHEATIN .CON <br /> Phone/E-mall <br /> 13UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK S ) L <br /> Existing Use of Building Lop'( 1 dL 0.L-)( HEAT SOURCE: <br /> Proposed Use of Building ?'�n tri,0 ­' 7— Gas Electric Other <br /> Building type: X-Single Family _Duplex_Townhouse Multl-Family _Commercial <br /> Type ofproject: New XAddition Remodel Repair T.I. Sign Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on fhe back): <br /> llv)s-rCO a� M 0� (V'W c AIIA U' nate pump <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _Now'Addn ,r_Alteration_Repair Type of Project: „_,New_Addn __AlterationRepair <br /> Show Number # of fixtures 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/badmo /etc. <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease ira <br /> [Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby cenlfy that I have read end examined this applicallon and know the ssme to be true and correct.All provisions of laws and ordinances governing(his(ypo orwork will be comp) <br /> with whether specified herein or not.The granling of a permit does not presumo to give authorily to violate or cancel the provislon of any other stale or local law regulating construclfon <br /> Thal am authorized by the owner of[hie property to perform the Work for which applicallon le made and I comply with the Slate Contraclors Law 18.27 RCW and 296.200A WAC. <br /> Authorized Agent Signature Dale (Revised 8/2094) <br />