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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGlSIGN/SPRINKLEaIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, EveretL WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TA%p PERMIT tF <br /> 10006 12th Ave SE (� �- � � <br /> Greenfield Park Lot No.� �auacn coPy or mnq iegai descr�pnoni <br /> LEGALfornr.vcon;vuchon: ShortPlal'subdrvi;ion_. <br /> OWNER Lennar Northwest pneoe�e-maa (Z53)590-2205,marijke.vanstichel@lennar.com <br /> n�d��-�: 12815 Canyon Rd E,Suite F Gty�S�a�elZip Puyallup,WA 98373 <br /> APPLICANT: XOnner Owner'sAgenl _Coniractor CentractorsAgent Tenamm,�s�o�o.�aeaien�,c+cc-:c�ncmmec+..�e�ioo�wo�r..��u�esc.�-�•i <br /> CON7RACTOR Lennar Northwest L&I Lic.# LENNANI893QG COE Bus.Lic.# <br /> A ldress <br /> 12815 Canyon Rd[,Suite F,Puyallup WA 98373 pnone;Emad See Above <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBrie,(253)838-6113,ericlabriei��esmciviLcom <br /> FY.one�E-mad <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Buildin9 _ HEAT SOURCE: <br /> New Single Family Residence,Basic Plan 418A cas X eiecv�c_ omer_ . <br /> Proposed Use of Building__- _ —_-___ - <br /> Building rype: )C Single Family _Duplez_Townhouse _Multi-Family _Commercial <br /> Type of prolect X New Addition _Remodel __Repair__T.I.__Sign___Sprinkler___Demolilion_Change of Use <br /> DESCRIPTION OF WORK p�ddrtmnal space provided en the Gack): <br /> New Single-Fami.ly Residence, Basic Plan #418A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT diPPLICATION <br /> Typo of Project: _New_Addn _Al�eretion_Repair Type o(ProjecC _New_Addn _Allaration_Repair <br /> Show Number(C)o/lixtures Show Number(p)o/fizNres <br /> A/C-air handhng units 3 7oilet <br /> 1 � Forced air systems 2 BathWb <br /> d Gas piping 4 ' Lavatory(wash basin) <br /> 1 Water healer 1 Shower <br /> 1 ' Gas freplace 1 ' Kitchen sink 3 disposal <br /> t Gas range 1 Dishwasher <br /> 1 Ctothes dryer 1 Clothes washer <br /> 1 Range hood `7 er heate <br /> 5 Exhaust fan Sink(servicelbarlmop/elc.) <br /> � Heat pump � Backflow preventer <br /> Unit healer Urinal <br /> Boile� Grinking Founlain <br /> Refrigeration Floor drain <br /> � Woodstove I Grease trap <br /> Ducting I Roof drains <br /> I Medical Gas <br /> Olher-_-.—_.. _ <br /> SPRINKLER I SUPPRESSION SYSTEM O�her: <br /> Number of Heads Olher: <br />� Ilimcliycerli�yllia�IhavemeAan�leanmmodlh�sapp��cal�enaiulFno.vlticsamclo�otmean4cortecl AllOmvrsbn5o11av5endOrGinBna:sgowrnmglh�alypeolwoikwJlpaccmDlwJ <br /> �.r,l�vAwther speaLeJ liuein o�not Ttw granlinp ol a pemm Ooes nol presurne l0 9ive.Whomy lo va:ate or cancel lhe prov�sron ol any other stoie or bwll2w�e9uiabng consWcuon <br /> i I�;,I 1 am authorizea by ihe owner ol Ihls O�opertY�o pedorm Ihe work lor whcl�aOGl�catpn s ma0e and I compty vnih Ihe Slale ConVactore Law 18 27 RCW ana 25G 200A WAC. <br /> �j� "-�,�. G�-� �. � ��-- �CJ����� � ��1 <br /> OvmedAull�orired Agent SfgnaWre Dale (Revised fi�20tt) <br />