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._ � � � <br /> PEi�MIT APPLICATION I <br /> BUlLDING/MECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 Cedar Sl., Everett, �VA 98201 425-257-8810 FAX 425-257-8857 v�nvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO a PM <br /> SITE ADDRESS:�0022 121h AVe SE DaOPERiv 7A%N Z8051900102400 PERMIT# <br /> ao -Do <br /> LEGAL lor newconsiruction� Shon PlaUsubdivision Gfeen(i21d Park Lot No.b (atlach copy of long legal description) <br /> OWNER Lennar Northwest pnoneie-ma�i (Z53)590-2205,marijke.��anstichel@lennar.com <br /> address �Z8�5 Canyon Rd E,Suite P C�iylStaie2D Puyallup,WA 98373 <br /> APPLICANT: XOwner Owner'sAgem Comracmr Contrar.mr'sAgenl Tenanl�m�:io�o��aea�ene�aicooseou�ommeo��enoaowon��m�:oa�e� <br /> CONiRAC7�R Lennar Northwest L 8 I Lic.q�ENNANI893QG COE 8us. Lic.# <br /> nddress �z815 Canyon Rd E,Suite F,Puyallup WA 98373 Phone/Email See Above <br /> TENANi BUSINESS NAME CONTAGT FOR PERMiT <br /> Eric LaBrie,(253)838-6113,eric.labrie@esmcivil.com <br /> Phone/E�maii <br /> BUILDING PERMIT �1PPLICATION CONTRACT PRICE Of WORK <br /> Existing Use of Builtling HEAT SOURCE: <br /> Pwposed Use of Buiiding New Single-Family Residence,Basic Plan N4178 cas X Eieclric_ Other_ <br /> BuiWir�g rype: X Single Family _Duplex_Townhouse _Multi-Pamily _Commercial <br /> Type of project: X New _Addilion Remodel _Repair_T.I._Sign_Sprinkler_Demolition_C��ange of Use <br /> DESCRIPTION OF WORK(aodrtional space provided on Ihe backJ: <br /> l�J�w SF �psiden�= 1�� �`� �t ��- ��eV�ko� 13 <br /> MECHANICAL PERMIT APPLICATION PLUMBIhG PERMIT APPLICATION <br /> Type of ProjecC _New_Addn _Alteralion_Repair Type ol ProjecC _New_Addn _Alteration__Repair I <br /> Show Numbrr(p)o/fiirtares Show Number(p)ol fiMwes I <br /> A/C—air handling uni�s 3 Toilel '�, <br /> 1 Forced air syslems 2 Balhtub �. <br /> Gas piping 4 Lavatory(wash basin) <br /> 1 Water healer 1 Shower <br /> Gas fire0�ace 1 Kilchen sink 8 disposal <br /> 1 Gas range 1 Dishwasher <br /> Clothes dryer 7 Clothes washer <br /> 1 Range hood ea <br /> 4 Exhaustfan Sink servicelbar/mop/etc.) <br /> Heat pump Backilow prevenler <br /> Unit healer Lrinal <br /> Boiler Drinking Fountain <br /> Refrigeralion Floor drain <br /> Woodstove Grease Irap <br /> Ducting Roo(drains I <br /> Other Medical Gas � <br /> SPRINKLER / SUPPRESSION SYSTEM O�her: <br /> NumGer of Heads Olher: <br /> I I�ereby Cetlily Ihal I�ave read antl eyimined t�is aOJlicalion antl know ihe same lo Ce INe antl conecl.All pmvaions al laws and orGlnances Sovemin91�5 rype ol wark wdl�e mmpliea �', <br /> wnn whelher speciGed herein or nol.The granting ol a oermit does nal oresume l0 9ive auihonty 10 violale or wncel lhe Orovision ol anp olher slale or laal Ww ie9uWling co�lruclion '� <br /> Tha11 am aul�arizeE�y t�e owner ol lhis pmpetly lo peAorm I�e work lor w��ch appLcalion 6 maCe an01 complywuh roe$laie Contractors Law tB2713CW an0 296.200A WAC. �� <br /> ��L �3ilz 'I� <br /> 0 nedAulhorized Agent Signature a� (Revised 6/2012) � <br />