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PERMIT I�PPLICATiON <br /> BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLERIaEIY�ULITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St.. Everelt,WA 98201 425-257-8810 FAX 425-257-8857 w�w��.evcrettwa.org <br /> APPUCATIONS ARE ACCEPTEO FROM B AM TO 4 PM <br /> SITEADDRESS:�0021 72thAveSE PROPERTYTAXl7 P MZ# —O � <br /> LEGAL lor ne�v conslruclion' Sharl PiaUsubdwision <br /> Green(ield Park �o�No.b� lattach coDY of long legal description) <br /> ONNER Lennar Northwest Fi,onaE-ma�i (z53)590-2205,marijke.vanstichel�lennar.com <br /> nddress �z815 Canyon Rd E,Suite F CiodSiaterZip Puyallup,WA 98373 <br /> APPLICANT: XO�mer Ovmer'sA9ent Comractor _Conlractor'sAgent TenaN�m�:�m=.���.,ier.r�d�e�ce�i��c�vnea..ne�i,c�,..����.���'^^::����'� <br /> CONTRACTOR Lennar Northwest L& I Lic.;:LENNANI893QG COE Bus. Lic.r <br /> AddreSs <br /> 12815 Canyon Rd E,Suite F,Puyallup WA 98373 pno�e�Ema�i See Above <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBrie,(253)838-6113,eric.labrie�l��esmciviLcom <br /> Phone�E�mad <br /> BUILDING PERMIT APPLICATION CONTRACT FRICE OF WORK <br /> Existin Use cF Buildin HEAT SOURCE: <br /> 9 �---- <br /> New Single Family Residence,Basic Plan Y,416A �as_X eiectr�c_ _ oiner____ <br /> Proposed Use of Building_____ <br /> Bui!ding type: x Singic Fomity _Duplex_Townhouse _MWti-Family _Commercial <br /> Type of projecC .x_ New _ Addition _Remodel .__Repair_T.I.__Sign__ Sprinkler __ Demolitioq_ __Change of Use <br /> DESCRIPTION OF WORK(aridrt�onal space provided on rhe back): <br /> P:e�,� Single-Family Residence, Basic Plan #f416A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc of ProJocC _New_Addn _Al�cration_Repair Type of Pro�acl: _New_Addn _Alleralion_Rapair <br /> Show Number(#)o/Iixfures Show Numbcr(#)o//ixtures <br /> AIC-air handling ur�tls 3 Toilel <br /> 1 Forced air systems 2 ' Balhtub <br /> Gas pipinq 4 Lavatory(wash basinl <br /> 1 Waler heater 7 Shower <br /> 1 Gas freplace 1 Kitclien sink 8 disposal <br /> i Gas range 1 Dishwasher <br /> Clothzs dryer 7 Clothes washer <br /> 1 Range hoc� -� W <br /> 5 Cxhaus�(an � Sink(service/badmop/elc.) <br /> Heal pump Backflow preventer <br /> Unit heater Urinal <br /> � Boiler Drinking Fountain <br /> Re(rigeration Fioor drain <br /> ; Woodstove Greasetrap <br /> I Ductin Roof drains <br /> � Other__- --_-- Medical �as <br /> SPRINKLER I SUPPRESSION SYSTEM olher. <br /> j Number of Heads Other: <br /> IPirutqcetlihylNtllh;iverea[Iantlaxdimai�tlV�uJp{:'�¢�hon:intlAno,vlhe.anetobClNean�CortB[I AllpfOv6i0ns01IaN5entlordiWncesgovMpmfJlttistypCeln-orhwJlpecompli^U <br /> r.��;u.vbether sp�v:Rird herem or not The g�anling ol:�Veinnt does nol p�esume to 9ve authorny lo vnlate or W ncel Ne Omvrsion ol any olhcr sl�le or IOcal law rC9ulaiin9 mnslriidion <br /> 1 na;i am aul�orrzed 6y Ihe uwnr.r ol lhrs property Ic pedam the work lor w�ch applealnn 6 ma�e and I comply wilh liie Slale Conireclors Law 1827 RCW antl 29G200A Y:AC <br /> � � : ��i � <br /> . r �� .�� I L� ___'__ � Ul� �/' � <br /> OwnerlAu�horized Agent SignaWre � Uatet (Revised 6.2012) / <br />