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P�RMIT APPLICATION <br /> BlJILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FRGM 8 AM T04 PM <br /> SITE ADDRESS:10030 121h AV2 SE PROPERN lAX p PERMIT tl <br /> G 0-Olq <br /> L EGAL tor new con;lrucliort Shoh PlaVsubdrvision G�Penfield Pd�k Lot No.�_ (altach copy of long legal descriplion) <br /> oWNER lennar Northwest pno�ere.maa (Z53)590-2205, marijke.vanstichel@lennar.com <br /> Address �Z8�5 Canyon Rd E,Smte F City�SiateZv Puyallup,WA 98373 <br /> APPLICANT: X O+.ner Owner;Agen� _Cornracter Contracio/sAgen� Tenan��,,,,;iro��aex�:.uo�co�;�,ir:���.,�wme�uoo�n��n�s�a:ei <br /> CONTRACTOR Lennar Norihwest L 8 I Lic.# LENNANI893QG COE 8ua Lic.d <br /> ndd�ess 128t5 Canyon Rd E,Suite F,Puyallup WA 98373 P�one/EmaJ See Af10VE <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBrie,(253)838-6113,ericlabrie@esmcivil.com <br /> PhonelE-matl <br /> BUILDINGPERMITAFPLICQTION CONTRACTPRICEOFWORK <br /> Exis�ing Use of Buiiding HEAT SOURCE: <br /> Proposed Use of Bwlding New Single Family Residence,Basic Plan 418A Gas X Eleclric_ Olher <br /> Building type: X Single Family _Duplex_Townhocse ___�dulti-Family _Commercie I <br /> Type o(Droject x New _ Addition Remodel Rcpair __T.I. Sign_Sprinklar_Demohtion Change of Use _ I <br /> DESCRIPTION OF WORI;(add��ionai s�ace pro�ided oi�rhe back/: � <br /> New Single-Family Residen^_e, Basic Plan #418A <br /> MECHANICAL PERMIT APPLi^•ATION PLUMBING PERMIT APPLICAT@ON <br /> Type of Projecl: _New_Addn _Alteralion_Repaii Typo ol Projecl: _New_Addn _Alleralion_Repair <br /> Show Number(#J o/�xtures Show Number(pJ o!firtures _ <br /> A/C—air handlin units 3 Toilet <br /> 1 Forced atr systems 2 Balhlub <br /> Gas piping 4 Laeatory(wash basin) <br /> 1 Water hea�er 1 Showe� <br /> Gas fireplace 1 Kilchen sink 8 disposal <br /> 1 Gds ranqe 1 Dishwasher <br /> Clolhes dryer 1 Clolhes washer <br /> 7 Rangc hood aler ieate <br /> 5 Eahaust fan Sink(servicelbar/moF'etc.) <br /> Heal pump Bachflow preventer <br /> Unil heater Urinal <br /> Boiler Drinking Founlain <br /> Refriyeration Floor drain <br /> lYoodstove Grease lrap <br /> Ducting Roo(drains <br /> Olher �ledical Gas <br /> SFRINKLER I SUPPRESSION SYSTEM Other. <br /> Number of Heads Other: <br /> I hemby cert�ty Rial I have mad anE eaamined Ih¢ap0'��bn and know Ihe same lo be true anG cortM.NI prov6rons cl law,anE ord:runces Boverning I�a rype alwoik v.El M complyd <br /> w1�wnelher sDM��ca�ereN or noi.The qranlin9 0!a pertntl tloCS�o�pre5ume lo qrve aWhoRy lo vuia�e cr wncel lhr�. ��on ol any olher S�ale or loo'fl law regula�inq corsimclqn <br /> lhal I am amhor¢etl by ilre owncr ol��¢pmPerry lo oedonn I�e wcrk lor whi�aOP���n��s maCe antl�comDN�n�t�' '-u�Cocractors Ww 16 27 RLW antl 2°6 200�WAC. <br /> �w/���-� ��/�5/!z �� <br /> O crlAulh�o 2 d Agent Sipnalure �—�Date (ReviscA6�2017) �� <br />