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PERMIT APPLICATION <br /> BUILDING CHANICAL I PLUMBING/SIGN/I iNKLER/DEMOLITION <br /> 1 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SiTE INFORMATION <br /> PROJECT SITE ADDRESS:?92 0 19TH DR SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision ALPINE HEIGHTS Lot No. 59 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAMEALPINE HEIGHTS LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 120 SW EVERETT MALL WAY SUITE 100 <br /> coY EVERETT STATE WA ZIP 98204 <br /> OWNER PHONE: 360-953-2800 1-0-WNER EMAIL:WWW.SEAPACHOMES.COM <br /> CONTRACTOR NAME SEA PAC HOMES <br /> CONTRACTOR ADDRESS: STREET 120 SW EVERETT MALL WAY SUITE 100 <br /> crrr EVERETT STATE WA zip 98204 <br /> CONTRACTOR PHONE:3 6 0-9 5 3-2 8 0 0 CONTRACTOR EMAIL:WWW.SEAPACHOMES.COM <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REOUIRED): <br /> PRIMARY CONTACT: D OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: STEVE SNYDER CONTACT PHONE: 425-319-0122 <br /> CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ <br /> Proposed Use of Building: SFR Heat Source: ❑Gas giElectric DOther <br /> Building Type: DSFR-Detached ElSFR-Attached ❑Duplex ❑Multi-Family-#of Units: °Commercial Dindustrial <br /> 1 <br /> Type of Project: i iNew DAddition CI Remodel ©Repair DT.I. DSign DSprinkler ❑Demolition DChange of Use <br /> DESCRIPTION OF WORK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL ATTACHED DWELLINGS <br /> LIVING - 2435 THIS IS THE RAMSEY PLAN <br /> GARAGE - 385 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: X :New Addn ,_Alteration _Repair Type of Project: X New __.Addis _._Alteration _Repair <br /> t ofun3s List of Fixtures #of List of Fixtures #of List of Fixtures #of <br /> Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures <br /> NC--Air Handling Units Heat Pump 4 Toilet Backflow Presenter(Inside Bldg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration 2 Shower Floor Drain <br /> Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting 1 Dishwasher Roof Drains <br /> 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> 1 Range Hood ite, Water Heater 2 Other HOSE BIBS <br /> 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:f have reviewed this application and confirm the information contained herein is true and correct Warty dome pursuant to this permit must comply with <br /> current federal,state,and&rcallaw 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 lam the owner,or Iam authorized by the owner of this property to perform the work for which application is made <br /> and f <br /> ply with the=ate Contractors Law 18.27 PCW and 298.200A WAC. <br /> PERMIT it <br /> Cityof Everett Official Use Only <br /> ( d, <br /> , , //, , <br /> 6-22-16 C ( (00 ( — d `(L <br /> 3 <br /> Owner/Authorized A•=nt Signature Date (Revised 10/12/2015) <br />