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Sep. 2�, 2017 1 : �5PM No, �367 P, 3 <br /> ERMIT APPL.ICATIO� <br /> BUILDING/MECHANICAL/PLUMBING/SIGI�/SPRINKL.ER/DEMOLITION <br /> CITY OF EV�R�TT PERMIT SERVICES <br /> 3200 Cedar St_, Everett, WA 98201 425�257-8810 FAX 425-257-8857 www.everettwa,org <br /> S1TE ADDRESS: � �� F'ROPERlYTAX{t � p��y�(�}# <br /> ' �Y � <br /> LEGA1�for new construction; ShoR Plaf/subdivision Lot No. (attacn copy of fong legal tleSCription) <br /> OWNER �� � J��4./� Phone�E-mail � �—l��t <br /> Address v,Ly,� .{� � Clty/StatelZlp — � ��c ���(�,� <br /> APPLICANT:_Owner _Owners Agent X Contractor _Contractor's Agent _Tenant(mustprov�ae;ieker oscon:entrrom tn�awn.rto dowork in tho�pcw) <br /> CONTRACTOR G&S HEATING State ��c.# GSHEAC�'930RK City�us. Lic.# 019685 <br /> aadrass 3409 EVERETT AVE Phone/�mail 425-252-4402 <br /> TENANT BU5INESS NAME CONTACT FOR PERMIT <br /> DAWN WEIMER 425-252-4402 DAWN@GSMEATIN ,CON <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICA7'�ON CONTRACT PRICE OF WORK �(y O� G(� <br /> Existing Use of 6uilding ��'lGt� HEAT 50URCE: <br /> Proposed Use of Building Gas �ectric ofhe� <br /> Bui[ding type: _SinglC? Family _pupleX_7ownhouse _Multi-Family _Commercial <br /> T e of ro ect: New Addifion Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> D�SCRIPTION QF WORK�eddittonai spece prov�dsd on the beck): <br /> � <br /> \���,�,� �c�� ��P�`� <br /> MECHANICAL PERMIT PPRICATIQN PLUMBING PERMyT APPLICA7yON <br /> Typ�of project: _New_Addn _ Iteratlon Repafr Type of Project: _New�ddn _Alteration_Repaic <br /> Show Number # oPflxf Show Number(# of fixtures <br /> A/C—air handlin units Toifet <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 /> ClOthes dryef CIO#hes washer <br /> Ran e hood water heater <br /> Exhaust fan 5ink service/bar/mo /etc- <br /> 1 Neat um eackflow reventer <br /> Unit heater �rinal <br /> Boilef Drinkin Fountain <br /> Refri erdtion Floor drain <br /> Woodstove Grease tra <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKI.ER/ SUPPRE3310N �YSTEM other: <br /> Number of Heads Other; <br /> l hereby certify that f heve raed and cxemincd ihia appliCadion dntl knoW t11C SEme!o Ae l�Ue sn�coaect.All provlslans of lawa snd oCeinsnces goveming thls typa of work wlll be compl <br /> wiilt WhGtheY SpCCIfleQ herein or no(,The granting of a permit does not presume lo give authority to violate or cancol thc provisio�of�ny Otltef 3t�tC of IOCa�I 18W feguldtirig CAnEtfuCiiOft <br /> That I am eut oriz ihe ownar of t11i5 propefty t0 pefforn'1 tRe WO�k f0�WhlCh epplicat�on Is made antl I comply wfth tha Stata Contractors Law 18.27 RCW end 298.2COA WAC. <br /> � <br /> Owner/Author;zAd Ag�n Ignature Date (Ravrsad 9/2094) <br />