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� � <br /> PERMIT APPLfCATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMiT SERVICES <br /> 3200 Ced�r St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE A��SS: � PROPER7Y7AX# p � # <br /> CT <br /> LEGAL for new construction: Short PlaUsubdivision l.ot No. (attach copy of long legal description) <br /> OWNER �-�`e,� n j�"~ Phone/E-mail ���j�l.�— 3�� <br /> Address {"� ���� City/StatelZip <br /> ��. �.� -u�- <br /> APPLICANT:_Owner ,�Owner's Agent X Contractor _Contractor�S Ag0Y1t _T6�8llt{must provide a.etter of consent from the owner to do work in fhe space) <br /> CONTRACTOR G&S HEATING State�ic.# GSHEAC*93QRK City Bus. Lic.# 019685 <br /> Address 3449 EVERETT AVE Phone/Emaif 425-252-4402 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> DAWN WEIMER 425-252-4442 DAWN@GSHEA7fN .COti <br /> Phone(E-mail <br /> BUILDiNG PERMIT APPLICATION CONTRACT PRICE OF WORK y�0� <br /> Existing Use of Buifding n11i�i��� HEAT SO <br /> Proposed Use of Building Gas ctric Other <br /> Builciing type: _Single Family _Duplex�Towrhouse _Multi-Family _Commercial <br /> T e of ro'ect: New Addition Rem�def Re air T.f. Si n S rinkfer Demolition Chan e of Use <br /> DESCRIPTION OF WQRK(addifiona!space piovided cn the back): <br /> � <br /> �'��•i/1..�'�"..�c ,�!i,�y�,,—� ��v4'"F""$°.7 <br /> C <br /> MECHANICAL PERMIT APPLICATION PLUMBfNG PERMIT APPLICATION <br /> Type of Project: _New Addn �AlYeration Repair Type of Project: _New_Addn _Alteration_Repair <br /> 5how Number(#F)o ures Show Number(# of fixtures <br /> A/C—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Cla:hes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/barlmo /etc. <br /> Heat urn Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin Roof drains <br /> Uther Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certrfy that I have read and exarr,ined this application acd know the same io he true and correct.AL'provisions of laws and ordinances governing this Yype of work wil�be ccmpl <br /> with whether specifed herein or�ot.7he granting of a permit dces not presume to give authority to violate o•qncel the provision of any other sta'e or local law regulating consVuctlor <br /> That I am authorized by the owner of this property to pertorm the work for which applicafion is made and I comply wRh the State Contredors Law�8.27 RCW and 296.200A WAC. <br /> / � 41z�( n <br /> O er/ thorized Agent Signature Te (Revrsed 9/2014; <br />