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4522 RIVERFRONT BLVD 2020-07-02
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4522 RIVERFRONT BLVD 2020-07-02
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7/2/2020 2:25:17 PM
Creation date
7/2/2020 2:24:57 PM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4522
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PERMIT APPLICATION <br /> 4.77. BUILDING IECHANICAL / PLUMBING / SIGN 'RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION 290529004003,290529001021,290529001011, <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 290529001014,005760001000,005/60002000, <br /> 4522 Riverfront Blvd, Everett, WA 98201 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Riverfront SF, LLC Lot No.82 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Polygon WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th Street, Suite 100 <br /> Bellevue CITY WA STATE 98005 ZIP <br /> OWNER PHONE: 425.586.7700 OWNER EMAIL: alan.pani@polygonhomes.com <br /> CONTRACTOR NAME: Same as Owner <br /> CONTRACTOR ADDRESS: STREET Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.586.7700 CONTRACTOR EMAIL:alan.pani@pOlygonhOmeS.COm <br /> CONTRACTOR LICENSE#(REQUIRED): polygwl863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 <br /> PRIMARY CONTACT: [2]. OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani CONTACT EMAIL: alan.pani@polygonhomes.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/a Contract Price of Work: $ <br /> Proposed Use of Building: Single Family Home Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ®New ❑Addition El Remodel El Repair ❑T.l. ❑Sign CI Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION of • <br /> WORKNew construction, single family homes - plan 3581 A, ,'B 8('C elevationsGarage: 417 sf, 1st floor: <br /> 1,156 sf, 2nd floor: 1,573 sf and covered porch: 117 sf <br /> ASSOCIATED BUILDING PERMIT#(if applicable):,#1502-007F-v <br /> l,, /MECHANICAL PERMIT APPLICATION "'/ PLUMBING PERMIT APPLICATION <br /> Type of Project: X New Addn Alteration _Repair Type of Project: X New Addn Alteration _Repair <br /> #of #of #of #of <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 2 Bathtub Urinal <br /> Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain <br /> I Water Heater ' 1 Refrigeration 2 Shower Floor Drain <br /> 1 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 o <br /> Range Hood 1 Water Heater Other:!r <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> Number 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 I 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 /> PERMIT#�V <br /> 01a41, P 09/28/18 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) C Y <br />
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