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PERMiT APPLICA�ION <br /> BUILDING/PJIECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St.. Everett, WA 98201 425-257-8810 FAX�:25-257-8857 w�vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PHOPERiY TA%!! PERMIT# <br /> SITE ADDRESS: �r�025 12th Ave SE � O Z, <br /> , Greenfield Park �ot No 6B (at�ach mpY ol long legal descriplion) <br /> LEGAL for new conslmc�ioa Shotl i IaVsubtlivision — <br /> OWNER Lennar Northwest Phone�E-mai� (z53)590-2205,marijke.vanstichel@lennaccom <br /> Addre,s <br /> 12815 Canyon Rd E,Suite F cuyr5tate2p Puyallup,WA 98373 <br /> APPLICANT: X.Oti+�ner Owner'sAgenl Coniractor _ _Contraclor'sAgem _Tenani�����o�:,.a�.,��.n,+dc;:�;�.-,;o-=^,mec�,e�ioa�»����.�����;-,:��� <br /> CONTRACTOR <br /> Lennar Northwest L&I Lic.„LENNANI893QG COE Bus. Lia ` <br /> A�dress <br /> 12815 Canyon Rd E,Suite F,^uyallup WA 98373 pnone�Ema�i See Above <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBrie,(�53)838-6113,ericlabrie�esmciviLmm <br /> PhonerE�mail <br /> BUILDING PERMIT APPLIGA710N CONTRACT PRICE oFwoRK <br /> Ezisting Use of Boilding HEA1 SOURCE� <br /> Proposed Use of Building New Single Family Residence-Basic Plan 415A �as X Eiectr�c ___ �-�.ner <br /> Ouilding type: .X Single Family _Duplex_Townhouse __Multi-Family __Commercial <br /> Type of projecC X_New _Addflion ._Remodel _Repair__T.I._Sign_..Sprinkler,___Demolition__Change of Use <br /> DESCRIPTION OF WORK�-dvrtronal space provided on rhe back): <br /> Idee.� Single-Family Residence - Basic Plan 415A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMlT APPLICATION <br /> Type of Projeel: _New_Addn _Altoration_Repair Type of ProjecC _New_addn _�Iteration_Repair <br /> Sbaw Number(p)ol lixtures Show Number(#)ol/ixtures <br /> A/C—air handling units 3 Toite� <br /> 1 ' Forced air syslems 2 ' Bathtub <br /> 4 d Gas piping 4 p Lavatory(w sh 6asin) <br /> 1 Water healer 1 Shower <br /> 1 Gas tireplace 1 Kitchen sink 8 disposal <br /> 1 Gas ran e 1 ' Dishwasher <br /> 1 CloUies dryer i Clothes washer <br /> 1 Range hood ' r <br /> � 5 Exhaustfan Sink�servicelbar/mopietc.) <br /> Heal pump Backllow preventer <br /> Uni�healer Urinal <br /> � Boiler Drinking Founlain <br /> Refrigeralion Floor drain <br /> Wocdstove I Greasetrap <br /> Ducting Roof drains <br /> Other____ Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM1'I olner: <br /> � Number of Heads Other: <br /> I Portby tttlih�I��al I havn re0�.ln4 e+ammC<f Ihn upi�lm0lan and EnOwllmsdnre lo he Ime antl ronCct All prINnions ol IUW58nd oMmnncCs�overnin���h6lypo ol wo�t w li bn ce��plRd <br /> ;,^JnvhMher spi¢�fied Iwrein oe nol ilie 9��n1m9 0l a pmnut Uoes��ol prosume lo grve Aullioniy lo vwlale or rancel lno prov¢ion of any oiher slate or bcal law re9u,iLn9 cauVuqion <br /> '�bv I am aWhor¢etl 6y Ihe owner oi ihis pmperty lo pedonn�ne wo�l.lor whr.h appl�alon�s maGe ana�comply wi�h�he Sla�e Convactois Law 16 27 HC1h'antl 296 POOF P:%�C <br /> � ��� ..:� � -� __ � (��' �� � �L <br /> OwnndAulhorizaA A9en�SlpnaWre Da�e (Re�isedG2012) .I(/ I <br />