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F e b, 14. 2017 9: O l AM No. 4844 P, 1 <br /> ��RIT PP�� TIO� <br /> M A CA <br /> BUILDING/MECHANICAL/PLUMBING/SIG�/S�RINKLER/DEMOLITIOf� <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 95201 425-257-8810 FAX 425-257-8857 www.everetiwa.org <br /> 51TE ADDRESS:� � ,�; � � PROPEF;J'Y TAX# �I' O� 1���_ O � <br /> U <br /> LEGAL For new constructlon: Short PlaUsubdivision Loi No. (attach cvpy of Iong�egal deSCription) <br /> OWNER G�., Phone/E-mail ���'�.a(�}� �(!1� <br /> Address �(-L v Ciry/State/Zip �Q/��� <br /> APPLICAMT:_Owner _Owner's Agent X Contractor _Contractors Agent _Tenant(mus�provlde a letter of wnsvnc from chQ oWno�so av wo�x;n th��Pa�) <br /> CONTRACTOR G&S HEATING 5tate�ic.# GSHEAC*930RK Cit Hus.Lic.# 019685 <br /> Address 3409 EvERETT AVE Phone/Emal� 425-252-4402 <br /> TENANT BUSINESS NAME CONTACT�OR p�RM17 <br /> DAWN VV�IMER.425-252�4402 DAWN@GSHEATIN .CO[� <br /> Phone/E-mail <br /> BUILDING PERM�T APPL�GATION CONTW4C7 pR1C�O�V1/ORK '��I��•�^[7 <br /> Existing Use af Building • HEAT SOURCE: <br /> Proposed Use of Building Gas � Eiectric oinar <br /> Building type: _Single Family _Duplex Townhouse _Multi-Family _Comm�rcial <br /> T e of ro'ect: New Addition Remodel Re air T.�, Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional spece provided on the bacf�; <br /> lNEC1iANIGAL PERMIT APPLICATION PLUMBING PERMfT APPLICATION <br /> Type of Project: _New_Adtln �Altaration_Repalr Typ�of ProJect: _New�ddn _Alteration_Repair <br /> Show Ivumber(# of fixtures ' Show IVumber # of fxtures <br /> A/C—air handlin units Toilef <br /> Fprced air s s�ems Bathtub <br /> Gas i in Lavato wash basin <br /> Water hea#er Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Glothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/bar/mo /atc. <br /> � Heat um Back�low reventer <br /> Unit heater Uflnal <br /> Boiler Drinkin Fountain <br /> Refri eration �loor drain <br /> woods#ove Grease tra <br /> Ductin Roof drdins <br /> Other Medicar Gas <br /> SPRII�KLER/ SUPPRESS�ON SYSTEM Other. <br /> Number of Heads Other: <br /> ]hereby cerL'fy tn�t I have reaQ ana examined this spplication and know tha same to 6a true and cvrract.All provisions of faws antl ortlinanccs governinq tfNa typa aF work wiu be compl <br /> wlth whether apecified herein or naf.Thm branting of A pehltit does not p�esume to glve sulhodry to violste or cancel the proviaion of any other atate or locel Isw regulating conetrucfion <br /> Thal I etrlt t� 11oRSEd py She owner of this property to perForm the work forwhich appficaGon is MAtle�nd I Comply Whh tfle SWIe ConSrnCto�s L8w 15.27 RCw 8nd 296,200A WAC, <br /> � 1 �t 1'1 <br /> Owna Aut ed Agent S'sgnature Date � - (Revised 9/20>4J <br />