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4526 31ST AVE SE 2020-07-13
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4526 31ST AVE SE 2020-07-13
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7/13/2020 8:18:55 AM
Creation date
7/13/2020 8:18:37 AM
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Address Document
Street Name
31ST AVE SE
Street Number
4526
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447r PERMIT APPLICATION■ <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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE.IN,FORMATI N 29©52900 003,29052900.102'1 2905290©1011, <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 290529001014,00b/oUUu1000,005/60002000, <br /> 4526 31st Ave SE,Everett,WA 98201 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Riverfront SF, LLC Lot No.34 (attach copy of long legal description) <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): polygw1863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 <br /> PRIMARY CONTACT: IX OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani CONTACT EMAIL: alan.pani@polygonhomes.com <br /> Existing Use of Building: N/a Contract Price of Work:$ 263 l� &a <br /> Proposed Use of Building: Single Family Home Heat Source: ❑Gas IlElectric ❑Other <br /> Building Type: IXISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OFWORKNew construction, single family homes- plan 3581 "Je" elevationsGarage: 417 sf, 1st floor: <br /> 1,156 sf, 2nd floor: 1,573 sf and covered porch: 117 sf <br /> ASSOC TED BUILDING PERMIT#(if applicable):#1502-007 NO.If 1©' 1 <br /> MEC,HANICAiL PERMIT APPILICATION =„ !PLUMBING,PERMIT APPLICATION, <br /> Type of Project: X New _ Addn Alteration _Repair Type of Project: X New _Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of 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 \/\1."—/R atian/� 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 ` Othe : / 1 Clothes Washer Medical Gas <br /> Range Hood �� It Other: <br /> Exhaust Fan \N.11/ Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER,I.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 t/)I 0 1 DO <br /> Q,Q,an, {�_ �� 09/28/18 U� <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />
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