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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOL.ITION <br /> CITY OF EVERE� PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 982G1 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8.4M TO 4 PM <br /> SITE ADDRESS:�0018 12th Ave SE PROPERN TAx p PERMIT# _O l O <br /> LEGAL(or new conslmclio¢ Short Plat/subtl:vision <br /> Greenfield Park �o�Nc.S (atlach copy o�long legal descnplion) <br /> OWNER <br /> Lem�ar Northwest pnonere-mau (z53)590-2205,marijke.vanstichel��lennar.com <br /> a[.::?ss <br /> 12815 Canyon Rd E,Suite F Ciry�Sta�elZip Puyallup,WA 98373 <br /> AP?LICANT: XOv.ner Ovmer'sAgent Conlractor Conlractor'sAgent _Tenant�,-�:io�o�,meaier,c�c�coo;��mn�„in�o..�,c�:oao+o��=.�^�c�c.•:�i <br /> CONTRACTOR <br /> Lennar Northwest L 8 I Lic.# LENNANI893QG �pE Bus.Lic.# <br /> Address <br /> 12815 Canyon Rd E,Suite F,Puyallup WA 98373 anone.Emaa See Above <br /> TENANT BUSINESS NAME GONTACT FOR PERMIT <br /> Eric La6rie,(253)838-6113,ericlabrie@esmciviLcom <br /> PhonelE-mail <br /> BUILDING PERMIT APPLICATION C�NiRnCT PRIGE OF WORK — <br /> Existing Use of Building _ HEAT SOURCE: <br /> Proposed Use o(Boilding New Single Family P,esidence,Basic Plan 4158 Gas_X Eiectr�c oi�,e�_ <br /> Building type: x Single Family _Duptex_Townhouse _Multi-Family _Commercial <br /> Type o(project: X_New ,__Addition ___Remodel Repair __ _T.I._.Sign_Sprinkler ___Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space proviAed on the bacFJ: <br /> New Single-Family Residence, Basic Plan #418B <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProjeeC _New_Addn _Alleration_Repair Typo of Project: _Nmv_Addn _Aheration_Repair <br /> Show Numbei(H)ol lixfures Show fJumbw(#)o/fixtures <br /> A/C-air handling unils 3 Toilet <br /> 1 Forced air syslems 2 BalhWb <br /> d Gas piping 4 Lavatory(�vash basin) <br /> � Water heater 7 Shower <br /> 1 Gas freplace 1 Kitchen sink 8 disposal <br /> 1 Gas ran e 1 Dishwasher <br /> 1 Clothes dryer 1 Clothes washer <br /> � Range hood � <br /> S Exhaust tan I Sink(servicelbadmopletc.) <br /> Heal pump Backflow prevenler <br /> � Unit heater Urinal <br /> � Boiler Drinking Fountain <br /> � Refrigeration Floordrain <br /> Woodstove I Grease trap <br /> Ductin9 I Roof drains <br /> Olher � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSYEM I other. <br /> Number of Heads Other: <br /> I!.ere�V�etlJy�haU bavm ie;�tl an0 ezammed Inis apt�'+cnW n and I�nowthe same lo lre tmr�n;l cmrecl All pmvmons oi laws antl oromdnr.os govum�ng Ihis hF�ol work wdl be com0lretl <br /> vn;h whM�er.pEcifred�erpin or no� ilie ynniin9 0l,penn�l tloes nat presome ro qrve wl�o�rty lo valile or wncel Ihe pmvisron ol any olher s�Bie or local lan�ru9uaiinq mnsWqion <br /> iiml i nm authorae�by Ihe owner ol ihrs pm0erly lo pehmin Ihe wur�!a whn-ti appi�caton s made antl I comply wnh Ihe Slale Conlrectors Law IB 27 RCW an0 296 20GA WAC <br /> l �-- <br /> � ����� � � � �-,---- ���1( >/�� <br /> 6ale (Revised H�2J72J <br /> OvinadAuthadzed'Ae�entr5i�nature �I7 <br /> � <br /> .. . _._-.___"____ �� <br />