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Jul. 26. 2017 1 : 38PM � • No, �610 P. 1 <br /> PERMIT APPLICAT�QN <br /> BUILDING/M�C�IANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.�verettwa.org <br /> 51TE ADDRESS: .. PROPERTY TAX# �� ` � P RMI # � <br /> i ' A � <br /> LEGAL for new construot�on: $nort PlaUsubdivision Lot No. (attach copy of long legal description) <br /> bWN�R ` ' i' n (� �1� Phvne/E-mai] <br /> Address ��� � ^ � � Clty/State/Zlp G � <br /> APPLICANT'_Owner _Owner's Agant X Contractor _Contractor's Agent _Tenant rmusi nrovide a letlerefcon=vntfrom thv ownerto do in the� ace) <br /> corvTt�,CTOR G&S HEATING State �ic.# GSHEAC*930RK City Bus. �ic.# 19685 <br /> Address 3409 EVERETT AVE Phone/Emall 425-252-4402 <br /> TENqNT gUSINESS NAME CON7ACT FOR PERMIT <br /> DAWN WEIM�R 425-252- AWN@GS IN .COf� <br /> Phone/E-mail <br /> BUiLDING PERMIT APPL1CpT1oN CONTRACT PRICE OF WORK � U <br /> Existing Use of Building EAT SOU E: <br /> Proposed Use of Buildin Gas 1e � other <br /> �� <br /> Building type; ingle F y _Duplex_Townhouse _Multi-Famlly _Commercial <br /> T e of ro�ect; New Addition Remodel Re air T.I. Si n S rinkler Demolition Ghan e of Use <br /> DESCRIPTION OF WORK(additiona�space prov�dsd on tne 6ack): <br /> `V�S�-� v�C�-�� V� '�� <br /> � <br /> MECHANICAL PERMIT APPLIGATEON PLUMBING PERMIT A��LICATION <br /> Type of Projaet: _Naw_Addn ]t�ratf _Repair Type vf project: _Naw_Addn _Alteration_Rapalr <br /> Show Numbar # of i ures Show Number # of flxturas <br /> A/C—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavato wash besin) <br /> Wafer heater Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heatsr <br /> Exhaust fan Sink{service/bar/mop/etc. <br /> Heat um Backflow reventer <br /> Unit heeter Urina] <br /> Boiler Drinkin Founfain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin Roof drains <br /> Other , M6dical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM ptn��: <br /> Number of Heads Other: <br /> I herehy certify thet I have raad end oxarttirlGd lhis tlpplicado��nd know the esma to 6a true end correct.All provisions of Iews and ordinanccs yovarnin�tlti5 iypt of v✓ofk will be Compl <br /> wifll WhGlher speclfied heraln or not.The granting af a parmit dDCE rlot pfts�Rle to give bviflo�lry to vlolste o�qncel the proviaion of any other state or Iocal lew regulating consiruction <br /> That I m auihori�ed by tne Ownef oi t}lis property to pertorm the work for which a}�plicalion is medc and I Comply wfth thG St2tG GontfaClors�aw 9 e,z�RC�/�/snd 296.ZooA WAC- <br /> � �� �� <br /> erlAu nYSignature Date (Revised9/201aJ <br />