Laserfiche WebLink
0 0 <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 /> SIT ADDR ESS: C PROPERTY TAX# P�F�(I�'# <br /> c>1 V y <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER t Phone/E-mail ) <br /> Address L- t C '� City/State/Zip ^v 0 <br /> 01 ` a <br /> APPLICANT:_Owner _Owner's Agent X Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do kin the space) <br /> CONTRACTOR G&S HEATING State Lic.# GSHEAC*930RK City Bus. Lic.# /019685 <br /> Address 3409 EVERETT AVE Phone/Email 425-252-4. / <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT \ <br /> DAWN WEIMER 425-25X4402 DAWN@G'SHEATIN COM <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building � i HEAT SOURCE: <br /> Building , <br /> � � <br /> Proposed Use of Building k_ Xi i ;3 t' t Gas Electric rOther <br /> Building type: ZSingle Family _Duplex_Townhouse _Multi-Family _Commercial `---- <br /> T e of roiect: New Z Addition Remodel Repair T.1. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> T-nsfatl oil ov, (4 W ) npa <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <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/bar/mop/etc.) <br /> Heat p mp 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 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 compl <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 /> ol"in 41 <br /> bwner7Authorized Agent Signature Date (Revised 9/2014) <br />