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Sep. 12, 2017 2 : 04PM 0 No, 5823 P, 3 <br /> PERMIT APPLICATIO <br /> 10 <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: PROPERTYMin <br /> [T <br /> LEGAL for new construction: snort Plat/subdlvlSlon Lot No. (attach copy of long legal description) <br /> OWNER C ecj�/� Phone/E-mail <br /> Address 4�3 NVQ— City/State/Zip <br /> APPLICANT: r Owner ^Owner's Agent X Contractor —Contractors Agent _Tenant(must provide�letter of consantfr m the owner to work in the ap9 <br /> CONTRACTOR G&S HEATING state Lic.# GSHEAC*930RK City Bus. Lic.# 019685 <br /> Address 3409 EVERETT AVE Phone/Email 425-252-4402 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> DAWN WEIMER 425-2524402 DAWN@GSHEATIN .CON <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building ) h HEAT SOURCE; <br /> Proposed Use of Building Gas Elect is other <br /> Building type, Single Fa Duplex Townhouse _Multi-Family _Commercial <br /> T e of roject: ew Additlo Remodel Repair T.1. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _Naw_Addn Iteratio _Repair Type of Project: Now_Addn __Alteratlon_Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> A/C—air handlinq units Toilet <br /> Forced airs stems Bathtub <br /> Gas pipinQ Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ranqe hood Water heater <br /> Exhaust fan Sink (service/bar/mop/etc,) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler 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 of Heads Other: <br /> I hereby canify that I have read and examined this application and knowtha same to be true and Correct,All provisions of laws and ordinances governing this type of work will be comp) <br /> with whel specked herein or not.The granting of a permit does not presume to give authority to violata or cancel the provision of any other state or local law regulating Construction <br /> That I aT <br /> zed 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 /> 7 <br /> 1 <br /> t- <br /> O ar/Authorize gent Signature -I Date <br /> (RaviSed 912094) <br />