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� <br /> _ • ; <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 96201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITEADDRESS: 10402-HOLLY DRIVE PROPERTVTAXII PERMIT# <br /> � IU -�5 <br /> LEGAL br new constmcl�orc Short PlaUsubdrv�sion V I RG IL SHORT PLAT Lot No 1 (attach copy ol long le9al descriplion) <br /> OWNER SEATTLE PACIFIC HOMES INC Phone/e-mad 425-953-2800 <br /> nddress120 SW EVERETT MALL WAY c�ryBtate2p EVERETT WA.98204 <br /> APPLICANT:X Ovmer OvmersAgent Contractor Comractor'sAgent _7enantm,�+iwo.,ae+kaHoico�.emnommao«���i000..om�^m<.w�� <br /> CONTRACTOR L 8 1 Lic.#SEATTPHO05BU COE Bus. Lic.# <br /> AtlCress Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT - <br /> Phone�E-ma�l steves seattie aci6chomes.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE�. <br /> Proposed Use of Building Gas_ Eiectnc_ Other,_ <br /> Building type' �Single Family _Duplex_Townhouse _Multi-Family _Co�^mercial <br /> T pe of ro ect X New Addition Remodel Re air T.I. Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTION OFWORK(aomt�ona�spacepro��dedontnebacFl: CONSTRUCTION OF NEW SINGIE FAMILY HOME <br /> FROM BASIC PLAN #422 2006-40-8 <br /> MECHANICAL PERMIT APPLICATION PLUM8ING PERMIT APPLICATION <br /> Type ol Projecl: X New_Addn _Alleretion_Repair Type ot Prqect: X New_Addn _Alteration_Repair <br /> Show Numbcr(N)o//ixfures Show Num6er(f!)ollirlwes <br /> A/C-air hantllin units 3 Toilet <br /> � Forcetl air s slems 2 � BalhWb <br /> 3 � Gas pi in 4 Lavato lwash basin) <br /> Water healer z � Shower <br /> � �� Gas(ireplace � Kitchen sink 8 dlsposal <br /> Gas ran e Dist�.vasher <br /> Clothes d er Clothes washer <br /> � Ran e hood � � <br /> q Eahaust fan � Smk(servicelbadmoplelcJ <br /> Heat pump Backllow preventer <br /> � Unit h0Bt2f UfmZl <br /> Boiler Drinkin Fountain <br /> � Refri eration Floor drain <br /> � Wootlstove Gmase irap <br /> DucUn Roof drains <br /> Other � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads �I Olher: <br /> I�eie�y ce�L!y Inal I Iwae read anE ewmneA I�is uF7�wa:oc anE knarv Ihe sam0lo Oe Vue enE cartCcl A1 provnrons ot lows dnC oM�nenCOa pOvemnp Iti9lyp!01 vA�k wJl Ee romp!e0 <br /> wln wTMner spttAed nemin or nol T�e pranlmp ol o Derme Eocs nol pmsume Io prve aulhoNy to vrolalo or�ancell�e pronvon ol sny olher alate or bcal bwre9ulatinp conswnbn <br /> Tnol I n a ho E Cy Ihe ovmeraf Ihn propeny to Derloem tho woM�or wncn nppbcalqn ie ma0e en01 canply w�lh No Stata Comrecton Lew 1827 RCW anE 298200A WAC <br /> Owncr/�utlioAl dAgentSignature � �/�� (Revise06R0121 � �Z <br />