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PERMIT APPLICATION <br /> BUILDING 1t.■CHANICAL/PLUMBING/SIGN/ILNKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwagov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:7922 19TH DR SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision ALPINE HEIGHTS Lot,No. 58 (attach copy of long legal description); <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC TENANT NAME(If Commercial)., <br /> OWNER MAILING ADDRESS: sTRn r 120 SW EVERETT MALL WAY SUITE 100 <br /> City EVERETT STATE WA ZIP 98204 <br /> OWNER PHONE: 360-953-2800 OWNER EMAIL:WWW.SEAPACHOMES.COM <br /> CONTRACTOR NAME: SEA PAC HOMES <br /> CONTRACTOR ADDRESS: STREET 120 SW EVERETT MALL WAY SUITE 100 <br /> ciYY 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: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: STEVE SNYDER CONTACT PHONE: 4 2 5-319-0122 <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 121Electric ❑Other <br /> Building Type: ['SFR Detached EISFR-Attached ❑Duplex ❑Multi-Family-#of Units: ['Commercial Eilndustnal <br /> Type of Project EINew ['Addition ['Remodel ©Repair EIT.i. ['Sign ['Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL ATTACHED DWELLINGS <br /> LIVING - 2435 GARAGE - 285 <br /> THIS IS THE MARION PLAN <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 Addn Alteration <br /> _...Repair. <br /> if of #of 0o 0o <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> Gas Piping Boiler 4 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration 1 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 1 Water Heater 2 Other: HOSE BIBS <br /> 5 Exhaust Fan Sink(Service/Bar/Moptetc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> !Number of Heads <br /> ACKNOWLEDGEMENT t 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 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 lam authorized by the owner of this properly to perform the work for which application is made, <br /> and I comply with the to Contractors Law 18.27 RCM(and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# / 00 <br /> !U,, `,{ 4-5-16 (1 1 ®!Uifo <br /> Owner/AuthorIzed A nt Signature Date (Revised 10/12/2015) <br />