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PERMIT APPLICATION <br /> BUILDING 1 MECHANICAL! PLUMBING I SIGN I SPRINKLER/DEMOLITION <br /> '1111. L CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue;or.;Black:Ink:.Ori Please :;:g..: :;-><::':»:i: <br /> IY. )......... :...... .: PROJECT.::SITErINFORMATION:.:;s:';:.:: >:;::::;;::::;:::: >:::;;::::::: :;;: ;;::;:::::::: ::;::;::::_:;::::;::.::,. <br /> PROJECT SITE ADDRESS: "2- i„;-\\r-6S-,\N,n A.,,(2_,, PROPERTY TAX#: ( -&t ((nc.Prin POD <br /> I <br /> LEGAL for new construction: Short Plat/subdivision ') Lot No. (attach copy of long legal description) <br /> .......... <br /> ::::.::::. :::::':::' f: .:::.:•:: ::::::i:°;::'.::;: ':s. ;; ::::::: '>:: _:::` .;;.'.: i::'<CONTACT NFORMATIONs;s:: : ::::::.::<.:.-::;:;;:;:.::::;: :::: :-.:.:..:.::..:::<.:...::::,::.:: .. . .. <br /> OWNER NAME: I fo -y'\ t ',-.„-u.„) TENANT NAME(If Commercial): • <br /> OWNER MAILING ADDRESS: STREET -7�-,-)1„ \f i Y4;1-ti t /. 44' �j pleq <br /> 4 <br /> CITY A n/L.isi. u STATE i p/�'S ZIP et{� ) <br /> OWNER PHONE: v\ -?j;GI -- o1zh9 cic OWNER EMAIL: <br /> CONTRACTOR NAME: G&S HEATING <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> CITY EVERETT STATE WA zip 98201 <br /> CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@gSHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 019685 <br /> PRIMARY CONTACT: ❑OWNER C(CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: DAWN WEIMER CONTACT PHONE: 425-252-4402 <br /> CONTACT EMAIL: DAWN@GSHEATING.COM <br /> UNI.DING:PE MIT: .:...: ..:................. . . _.::.: . <br /> Existing Use of Building: • RESIDENTIAL Contract Price of Work:$ €S7719.f? '\ <br /> Proposed Use of Building: RESIDENTIAL Heat Source: ❑Gas ,Electric ❑Other <br /> Building Type: IgSFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: OCommercial ❑Industrial <br /> Type of Project ONew DAddition ❑Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ODemolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> :::.:MECHANICAN PE RMITsARPIL I TION`:':;.:`.'i:.:: <br />