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PERMIT AP�'LICATION <br /> BUILDINGII111ECFIANIC��LIPLUME3ING/SIGNISPRINKLERIDEMQLITION <br /> CITY dl= EVERE'rT' PERMIT SERVICES <br />�; 3200 Cede.r SL, Everett, WA 98201 425-7_;�7-8810 FAX 425-257-8857 �wvw.everetlwa.org <br /> APPLICATIONS ARE ACCEPT=D FROM 8 AM TO 4 PM <br /> SITE ADDRESS:�0017 12[h AV2 5E ' — PROPERN TAX N z8051900102400 jER1M11���[�-�.�"� <br /> V �� <br /> Greenfeld Park 70 <br /> LEGf�L lor new cons(ruction: SYiort PlaVsuhdivision Lo�No._ (al�ach copy of long legal description) <br /> OW�'8R Lennar Northwes[ pnone�e-maii (z53)590-2205,marijke.vanstichel`mlennaccom <br /> nddre::s �Z815 Canyon Rd E,Suite F CityiState�Zip Puyallup,WA 98373 <br /> APPUCANT: X Owner __Owner'sAgent ,_Cunlraetor Conlraetor'sA9ent _Tenanti���.,sir�o.�ao�ienc�o�w-ee�i��cmmec,.�e�maa�.c�t��mescacr� <br /> CONTRACTOR Lennar Northwest L& I Lic.#'�"��VANI893QG COE Bus. Lic. # <br /> Address �z8�5 Canyon Rd E,Suite F,Puyallup WA 98373 PhonelEmad Se2 AbOV2 <br /> TENANT BUSINESS NAME CONTACT FOR PERh717 <br /> Eric Laf3rie,(253)838 E113,eric.labrieil�esmciviLcom <br /> PhonelE-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRiCE oF woRK <br /> Existing Use o(Buildiny _ HEAT SOURCE: <br /> Proposed Use of Building New Single Family Residence-Basic Plan 4158 Gas_X eieciric omer__ <br /> Building�ype: )C Single Family _Duplex_Townhouse _Multi-Famiiy _Gommercial <br /> Type of proiecC X New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition__Change o(Use <br /> DESCRIPTION OF WORK�addifional space provided on Ihe Gack/: <br /> Iv Z�../ �— �eS�'(� �� L e� r���-. Si C � LI I S j <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alleralion_Repair Type of ProJect: _New_Addn _Alteration_Repair <br /> Show Number(il)ol(xtures Show Number(#)oI fixtures <br /> A/C–air handling units 3 Toilet <br /> 1 Forced air systems 2 BathWb <br /> d Gas pipin ' � 4 Lavatory(wash basin) <br /> 7 Wa�er healer 1 Shower � <br /> 1 Gas fireplace i Kitchen sink&disposal <br /> 1 ' Gas ran e 1 Dishwasher <br /> 1 Cbthes dryer 1 Clothes washer <br /> 1 Range hood --� �- <br /> 5 Exhaust fan I Sink(servicelbadmop/etc.l <br /> � Heat pump Backflow preven�er <br /> j Unit heater Urinal <br /> ' Boiler Drinking Fountain <br /> Refrigeralion I F�oor drain <br /> Woodsiove Grease trap <br /> IDucti�iq Roof dr�ins <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSIUN SYSTEM � Other: <br /> Number of Heads Other: � <br /> I liereby cendy lha�I have rea�an�examined�his appLcalion antl know�he saine lo�e�me and cortecL All pmvisions ot lav+s antl ordinances goveming this ryp^_ol worM.will be complrea <br /> with whelher spe<i6etl herein or noL The yranting of a pemii�tloes no�presume lo giv^auihonty lo violate or cancel Ine promsion ol an5'ot�er siale or bcal law regula�ing consWc�bn <br /> Tnal I am aulhorized by the owner ol ihrs pro0erty�o pedorm�ne work br whic�appii�a�ion is maae ana I coinply wnn Ihe Slate Coniractors Ww 1827 RCW and 296200A WAC. <br /> � ���� <br /> ' I..'�,! ...�'.�—� —_ `�/,.(/ry/ <br /> OvmerlAinhorizedAgentSignaWre � 4):iL• (ReviseA6/20121 <br />