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'' x <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS:10022 13th Ave SE PROPERTY 7AX p PERMIT# <br /> a� � 2 0 00 oz �� e �20 —o <br /> LEGAL for new construction: Short Plat/subdivision Greenfleld Pdrk Lot No 52 (attach copy of long legal description) <br /> OWNER Lennar Northwest Phone/E-mail �z53)590-2205,marijke.vanstichel@lennar.com <br /> Address 1281 S Canyon Rd E,Suite F City/State/zip Puyallup,WA 98373 <br /> APPLICANT: X Owner _Owner's Agent _Contractor _Contractor's Agent _Tenant�m�sc Pro��de a iener or�or,sem rrom me ow�er io do wo�k�r,cne sPa�e> <br /> CONTRACTOR Lennar Northwest L&I Lic.#LENNAN1893QG COE Bus. Lic.# <br /> Address 12815 Canyon Rd E,Suite F, Puyallup WA 98373 Phone/Email See Above <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBrie,(253)838-6113,eric.labrie@esmcivil.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building New Single Family Residence-Basic Plan 415A Gas X Electric Other <br /> Building type: �C Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: X New Addition Remodel Repair_T.I._Sign_Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> � <br /> (ve�,, �,4,c�l.� ,1 l� i'-es�'den c c 4�:�s�� ���,. �{A 5 � l�U�.h°^ A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fiutures <br /> A/C—air handling units 3 Toilet <br /> 1 Forced air systems 2 Bathtub <br /> 4 Gas piping 4 Lavatory(wash basin) <br /> 1 Water heater 1 Shower <br /> 1 Gas fireplace 1 Kitchen sink&disposal <br /> 1 Gas range 1 Dishwasher <br /> 1 Clothes dryer 1 Clothes washer <br /> 1 Range hood <br /> 5 Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this type of work will be complied <br /> with whether specified herein or not The granting of a permit does not presume to give authoriry to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner oi ihis property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br /> �—� <br /> F. ;� r � � <br /> ��--�.rz�" �,/z��/ z <br /> Owner/Authorized Agent Signature � � Date (Revised 6/2012J <br />