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• • <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 ADDRESS: 16�J PROPERTY TAX# P MIT <br /> 6201 Associated Blvd 28040100303600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Underwood Gartland Everett,LLC Phone/E-mail David Gartland, david@ug-dev.com <br /> Address 4210 132nd Ave NE City/State/Zip EVERETT,WA 98203 <br /> APPLICANT: Owner _Owner's Agent X Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner toin the sp ce) <br /> CONTRACTOR GS Mechanical State Lic.# GSMECML928RK City Bus. Lic. 047137 <br /> Addre BOX REDMOND,WA 98073 Phone/Email 206-372-0332 greg@gsme anica,JsKop.cTi <br /> T ANT BUSINESS NAME CONTACT FOR PERMIT Greg Sm 206-372-0332 <br /> JDS at UG 62 ; greg@gsmech Ishop.com <br /> Phone/E-mail <br /> BUILDINdPERMIT APPLICATION CONTRACT PRICE OF WOR 10,000.00 <br /> Existing Use of Building HEAT URCE: <br /> Proposed Use of Building Ga Electric other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type ofproject: New Addition Remodel Repair T.1. Sin_Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back) <br /> FURNISH AND INSTALL NEW OFFICE RESTROOM FIXTURES,BREAKROOM SINK,DRINKING <br /> FOUNTAIN,50 GALLON ELECTRIC WATER HEATER AND LAUNDRY TRAY. INCLUDES <br /> UNDERGROUND WASTE ROUGH IN WITH VENT AND WATERLINES. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: X New_Addn _Alteration_Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> A/C—air handling units 3 Toilet <br /> Forced airs stems Bathtub <br /> Gas piping 2 Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace 1 Kitchen sin <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood 1 Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater 1 Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration 2 Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> I Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp) <br /> with whether specified herein or not.The granting of a permit does not presume to give authority 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 State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 1.19.17 <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />