Laserfiche WebLink
PERMIT APPLICATION <br />BUILDIN�ECHANICAL / PLUMBING / SIGN�RINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVIC <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.ever<:ttwa.gov/permits <br />PROJECT SITE INFORMATION Parcel numbers: 00574700 1 001 02, 00574700100100, <br />f�ROJECT SITE ADDRESS: PROPERTY TAX #: � <br />2008 113th PI SE, Everett, WA, 98204 00574700100304, 00574700100301 & 00574700100403 <br />I..EGAL for new construction: Short Plat/subdivision Silver Lake Center Loi No. (attach copy of long legal ciescription) <br />CONTACT INFORMATION <br />(:)WNER NAME: Silver Lake Center, LLC TENANT NAME (If Commercial): <br />(:)WNER MAILING ADDRESS: srRE�T 11624 SE 5th Street, Suite 100 <br />Bellevue cirv WA sTnTE 98005 zir� <br />(�WNER PHONE: 425.586.7700 OWNER EMAIL: alan.pani@polygonhomes.com <br />t;ONTRACTOR NAME: Silver Lake Center, LLC <br />(�ONTRACTOR ADDRESS: srREET 11624 SE 5th Street, Suite 100 <br />Bellevue crrv WA sTnTE 98005 ziP <br />(:ONTRACTOR PHONE: 425.586.7700 CONTRACTOR EMAIL: alan.pani@polygonhomes.com <br />(.".ONTRACTOR LICENSE #(REQUIRED): 603-36-296 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 053223 <br />f'RIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) <br />(:ONTACT NAME: CONTACT PHONE: (425) 891-2727 <br />Michelle Dittman <br />CONTACT EMAIL: michelle.dittman@polygonPiomes.com <br />BUILDING PERMIT APPLICATION <br />E_xisting Use of Building: Sales Office Contract Price of Work: $ '�� � <br />F'roposed Use of Building: Garage for a Townhome Residence Heat Source: ❑Gas ❑Electric ❑Other <br />E3uilding Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-# of Units: 5 ❑Commercial ❑Industrial <br />-�ype of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition �Change of Use <br />DESCRIPTION OF WORK: Convert two existing townhome units from Sales Offices back into garages and make alterations to one bathroom. <br />i�SSOCIATED BUILDING PERMIT #(if applicable): C1411-014 a�4r <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />l-ype of Project: _New _ Addn �Alteration _Repair Type of Project: _New _Addn �Alteration _Repair <br /># of List of Fixtures #�f List of Fixtures #�f List of Fixtures # of List of Fixtures <br />Fixfures Fixfures Fixtures Fixtures <br />A!C — Air Handling Units Heat Pump � Toilet Backflow Preventer (Inside Bldg) <br />Forced Air Systems Unit Heater � Batnt�b/ Shower Urinal <br />Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain <br />Water Heater Refrigeration Shower Floor Drain <br />Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap <br />Gas Range Ducting Dishwasher Roof Drains <br />Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br />Range Hood Water Heater Other: <br />� Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />/ICKNOWLEDGEMENT: 1 have reviewed this application and confirm the information contained herein is irue 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 therefrorn. Deviations must ,`irst be authorized in writing from the <br />E3uilding Official before being auihorized under any circumstance. ! am the owner, or I am authorized by the owner of this property to perform ihe wvrk for which application is made, <br />�and 1 comply with the State Con[ractors Law 18.27 RCW and 296.200A WAC. <br />7lc�I <br />Ownerl�ized Agent Signature Date <br />City of Everetf OKicial Use Only <br />PERMIT # <br />�%l �'� � - �� <br />(Revised 10/12/2015) <br />� I'� <br />� <br />