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4524 RIVERFRONT BLVD 2020-07-02
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4524 RIVERFRONT BLVD 2020-07-02
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7/2/2020 2:33:40 PM
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7/2/2020 2:33:15 PM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4524
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47-7 PERMIT APPLICATIOP <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION 290529004003, 290529001021,290529001011, <br /> PROJECT SITE ADDRESS:4524 Riverfront Blvd, Everett, VI,�ROPERTY TAX#: 290529001014, 005/b00U1000,005760002000, <br /> °( 004390805017, 004390805025,009953000010 <br /> LEGAL for new construction. Short Plat/subdivision Riverfront SF, LLC Lot No. 81 (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: El 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 DOther <br /> Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: New ❑Addition ❑Remodel DRepair DTA. ❑Sign ESprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: New construction, single family homes - plan 3580 C elevation <br /> Garage: 433 sf, 1st floor: 1,070 sf, 2nd floor: 1,472 sf and covered porch: 120 sf <br /> /1 <br /> (� <br /> ASSOCIATED BUILDING PERMIT#(if applicable): (j ' ti�(`, ( Z \ <br /> 'MECHANICAL PERMIT APPLICATIONPLUMBING PERMIT APPLICATION <br /> Type of Project: X New Addn Alteration _Repair Tye of Project: X New Addn Alteration Repair <br /> #of of <br /> List of Fixtures #of List of Fixtures #of 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 /> 1 Water Heater 'f /Refrigeration 1 Shower Floor Drain <br /> r 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 <br /> Range Hood 1 Water Heater Other: ...0 k-?)7 JA,y- <br /> 6 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 /> Ccetmh_ %ami. 09/28/18 PERMIT 02- <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />
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