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PERMIT APPLICATIO, <br /> 000111p - <br /> BUILDING , ,JIECHANICAL / PLUMBING / SIGN PRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> 1 PROJECT SITE INFORMATION 290529004003,290529001021,290529001011, <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 290529001014,005760001000,005760002000, <br /> 4606 Riverfront Blvd, Everett, WA 98201 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Riverfront SF, LLC Lot No.77 (attach copy of long legal description) <br /> 1 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: l OWNER ❑ CONTRACTOR D 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 EISFR-Attached El Duplex EMulti-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ®New ❑Addition El Remodel ❑Repair ❑T.I. ❑Sign ❑Sprin�klerr ODemolition ❑Change of Use <br /> DESCRIPTION OFWORKNlew construction, single family homes - plan 3581 leelevationsGarage: 417 sf, 1st floor: <br /> 1,156 sf, 2nd floor: 1,573 sf and covered porch: 117 sf <br /> ASSOCIATED BUILDING PERMIT#(if applicable):#1502-007 1 <br /> Tl tO-(N2 <br /> I `,/ 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 <br /> Fixtures of <br /> List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures <br /> 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 \/l 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 Ga <br /> Range Hood • 1 Water Heater Other:I,Ui V U/ l} Q, <br /> / Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> i Number of Heads <br /> ACKNOWLEDGEMENT:1 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 <br /> Q.2a,n, be Pani. 09/28/18 , W O ' 61 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) , i <br /> G/7 <br />