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PERMIT APPLICATION <br /> 4errBUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or;Black;IInkOnlItPtease)3c2 '_PROJECT_SITE INFORMATION <br /> PROJECT SiTE ADDRESS: 3 7"MCDOUGALL AVE 'PROPERTY TAX#: 00576002100003 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT:iNFORMATION . ....... <br /> OWNER NAME: ST ENTERPRISES LLC TENANT NAME(If Commercial): RELIABLE SECURTIY <br /> OWNER MAILING ADDRESS: STREET PO BOX 1298 <br /> CITY EVERETT, STATE WA ZIP 98206 <br /> OWNER PHONE: 425-353-5512 OWNER EMAIL: EDDY@RELIABLESECURITY <br /> CONTRACTOR NAME: G&S HEATING <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> CITY EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425-610-4257 CONTRACTOR EMAIL: JONATHAN@GSHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 19685 <br /> PRIMARY CONTACT: D OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-309-5507 <br /> JONATHAN FARRELL CONTACT EMAIL: ,JONATHAN@GSHEATING.COM <br /> :,;BUILDING.PERMIT.APPLICATION <br /> Existing Use of Building:OFFICE Contract Price of Work:$ 23,000 <br /> Proposed Use of Building: OFFICE Heat Source: OGas yaElectric OOther <br /> Building Type: ❑SFR-Detached OSFR-Attached DDuplex DMulti-Family-#of Units: VCommercial ©Industrial <br /> Type of Project: ONew DAddition DRemodel DRepair 0T.I. DSign OSprinkler DDemolition jChange of Use <br /> DESCRIPTION OF WORK: <br /> Installing one head duct less mini split systems for server room <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL:PERMIT<APPLICATION: PLUMBING:PERMIT:APPLICATION <br /> Type of Project: New 4 Addn Alteration ^_Repair Type of Project: _New _Addn _Alteration _Repair <br /> Ffxtu�s List of Fixtures Fixtures List of Fixtures #°f List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> - <br /> Gas Piping Boiler Lavatory Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood I D v Le55' Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> . SPRINKLER;/;SUPPRESSIONSYSTEM ;:.:, <br /> Chemical or Water 1 No.of Heads <br /> ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC <br /> City of Everett Official Use Only <br /> Jonathan D Farrell -Z3-IE PE ITA z a4 W� <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) VJ <br /> — _ lI <br />