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PERMiT APPLI�ATION <br /> BUILD[�VGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett. WA 98201 425-257-8810 FAX 425-257-8857 www.e'��erettwa.org <br /> APPLICATIONS ARE ACCLPTED FROM 8 AM TO 4 PM <br /> SITE AD�RESS:�0026 12th Ave SE PAOPERTi TA%NZ8051900102400 �E������� ���. <br /> � GrAen�ield Pdrk �o�No.� (atlach copy o(long legal descriplion) <br /> LEGALbrnewconsVuclion�. ShonPiat�u6aiv�sron__ — <br /> OwNER Lennar Northwest pnoneE-mau (z53)590-2205.marijke.vanstichel@lennaccom <br /> nddre:s �z8�5 Canyon Rd E,�ui[e F Cny/S�a�e/L� Puyallup,WA 98373 <br /> APPLICANT: xO��ier Ovmer'sAqenl __Conlrac�or Comractor'sAgenl _Tenanli�-.�;in�o�..eaie:���,_��-,�.���.�����^��"��o�..���ioc�"•:��.���.����:c�--�� <br /> CONTRACTOR <br /> Lennar�orthwest L 8 I Lic.# LENNANI693QG COE Bus. Lic.k <br /> Addre,s <br /> 12875 Canyon Rd E,Suite F,Puyallup WA 98373 pnone�emz.: See Above <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBri�,(253)838-6113,eric.labrie@esmciviLcom <br /> Phonc�E-mail <br /> BUILDING PERMIT APPLICATION CONTRACi PRICE oF WORK <br /> Eaisling Use of Building_ _ _ HEAT SOURCE: <br /> Proposed Use ot Building New Single-Family Residence,Basic Plan#417A Gas. X Eiectric_. . oiner _ <br /> Building type: X Single Family _Duplex_Townhouse _Mulli-'ramily _Commercial <br /> Type of projecC X Ne�+� __Addition _Remodel __Repair__ T.L__Sign__Sprinkler_Demolition__Change of Use <br />� DESCRIPTIONOPWORK(aAdiiionalspaceprovldedonfheback): <br /> . r <br /> �\��,w s r C<�s��«L�;�, .-��,� � � �-t I� �� e� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERtJIiY APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Typo of ProjecC _New_Addn _Alteretion_Repair <br /> Shaw Numba(#)o/(izWres Show Nunrbcr(#)oI lizNres <br /> 0 A/C-air handling units 3 Toilet <br /> 1 ' F�rceA air systems Z Bathtub <br /> p Gas piping � Lavatory(wash basin) <br /> 1 Wa�er heater 1 Shower <br /> 1 Gas`ireplace 1 Kitchen sink 8 disposal <br /> 1 Gas range 1 Dishwasher <br /> 1 Clothes dryer 1 � Clothes washer <br /> I 1 o Range hood ��-1�`'��VJaier,ueeie�-- <br /> 4 Exhaust f�n Sink(servicelbarlmoplelc.l <br /> � Heat pump Back(low C�eventer <br /> '� Unit heater �I Urinal <br /> � Boiter Drinking Founlain <br /> Refrigeration Fbor drain <br /> Woodstove Grease trap <br /> '� Ducting I Roof drains <br /> Other � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � otner: <br /> Number of Heads Othec <br /> I n,�rul���cenily Ihat I nave�cad antl eaamumd Ihis appimolion anJ�.��ow Inc-san�e!o be Iiuo and eotteet.All pmv5i0n5 of law!'dnd ortlinances gavnm�ng Ihis lype ol wo�k wal be compiretl ' <br /> :.^p wtielher spebLed heiem o�nol lhe 9ranting ol a peimil does not pmsu�ne lo givo aulhonty lo vq!ate or cancel lhe pmvision oi ony oilrer slate or loal law regulatmg conslrucuon <br /> i i�:n Luy,�ulhonzed by�he owner o�IluS pmperty�o pedorm Ihe work br whch applwatqn s made.n�I comC�Y H"�Ih Ilie Slale Contrac�ors la'.v 18 2]RCVJ and P96 2GOA VlAC <br /> /� <br /> � � � <br /> � ;.,/(7— � %—�./�----. `�,�i�4 7 L <br /> OwnedAu— IhorizeaA9ont Signature Da�e (Rer�sed 6'2072) � <br /> -�`-a-.:._ _.e ._ __.._:.�� <br /> _—_ <br />