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PERMIT APPLICA�'ION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CI7Y OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., tverett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITEADDRESS:�Q00112IhAveSE VROPERNTAX11Z80 5 1 9001 024 00 P MITf! <br /> � <br /> LEGALio�newconsin,a�on�. SnonPiausubd���s�o�GreenfieldPark Lo�No74 (atlachcopyollongleg�IdescnDiion) <br /> oWNER Lennar Northwest Pno�e�e �Tad(?53)590-2205, marijke.vanstichel�alennacwm <br /> nddress 128�5 Canyon Hd E,Suite F City/S�a�e2ip Puy�llup,WA 98373 <br /> APPLICANT: XOwner Owner'sAgent Contractor CoNrector';Auent TenaniiT�,;ipm�oeaiene�o�co�.c�:im-�mea.nc�mco.wa,�meso�=c� <br /> CONTRACTOR Lennar NorthH�est L 8 I Lic.tI LENNANI893QG COE Bus. Lic.# <br /> Address �Za�5 Canyon Rd E,$vite F,Puyallup WA 96373. PhonelEma�l See AbOve <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBrie,(253)838-6113,ericlabrie@esmciviLcom <br /> Phone�E�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> . Ezis�ing Use of Building _ HEAT SOURCE: <br /> Proposed Use of Building New Sinole Family Residence-Basic Plan 4758 Gas X Eiectr�c_ Oiher <br /> Building rype: X Single Family __Duplex_Townhouse _ ___Multi-Family _Gommercial <br /> Type of project: X New Adcition Remodel _ReOair_T.I. ,Sign__Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(arld,�io,�al space provided on the backi: <br /> New S�ngle-Family Residence Basic Plan #415B <br /> MECHANICAL PERMIT APPLICATION ?LUMBING PERMIT APPLICATION <br /> Type of Projnct: _Naw_Addn _Alteratlon_Repair Typo ol Projoct: _Naw_Addn _Alloration_Rapalr <br /> Show Number(#�o/fixtures Show Number(pJ o/li,cfures <br /> A/C—air handlin untls 3 Toilet <br /> 1 Forced air systems 2 Bathtub <br /> Gas piping A Lavatory(wash 6asin) <br /> 1 Water heater 1 Shower <br /> Gas(replaee 1 Kitchen sink 8 disposal <br /> 1 Gasranqe 1 Dishwasher <br /> Clothes dryer 1 Clothes washer <br /> 1 Range hoW i �ea <br /> 5 Exhausl lan SinA(servicelbar/mopletc. <br /> Heal pump BackOow prevenler <br /> Unil healcr Urinal <br /> Boiler Drinkino Founlain <br /> Relri era�ion Floor drain <br /> Woodsrove Grease trap <br /> DucGng Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I�ereby cenity Iha11 nave read ar.G eMamined I�a aOP�k.i�nn and know i�e same lo Oc we an0 cortM.Ail pwv¢wns oi law.and orGhances goveminp Ins lype ol wod..tl be complr:d <br /> wnh wl�elher spet�ed here'm or not.Tta granimg ol a pertnn Eoes not O�eSumc lo g�ne aulhorny lo vul�te or�inml Ipc provcan ol any olher slale or bc�l�w ieguli�iny conshucM1on <br /> i�at 1 am au�horized�y Ihe awner ol thrs Owperiy�o pedonn I�e woh lor whc�aOD��uiiun s matle anG I compN'^'����e Siale i:ornmaors Law iB 27 RCW and 796 700A WAC <br /> ���_ � �rI��L�2 <br /> OwnedAuthodze genlSignature Dale (Revised6�20f2) '/ <br /> Z <br />