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. <br /> i <br /> PERMIT APPLICATION <br /> BUI!_DINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRE:�.S: , PROPERiv7A%azg051900102400 PEJ�I'� - �- <br /> 10003 12ih DR SE �_ �/�:{ —�ivj <br /> Greenfleld Park <br /> '�LEGAL Ic�ne•.v mnslmc'ion: Shorl PIal�c.uGOrvision__ Lel No� (atlach copy ol long legal descnption) <br /> OWNER Lennar Nortnwest pno�z�e-maa(z53)`_90-2205,marijke.vanstichelte�lennar.com <br /> Addiess <br /> 12815 Cairyon Rd E,Suite F c�iy 5�ate'Zip P�Y�IIup,1NA 98373 <br /> APPLICANT: XO�':nor Ovmer':Agcnl _Conlraclor _.Gontr:�ctor',Agent Tenantln�.,,sto�o.�ceaier��,c'r-:e��.�nc-��.::ec:.-.e�uc:wr��c^��-ro:e <br /> CONTRACTOR <br /> Lennar Northwest L& I Lic.K LENNANI893QG COE Bus. Lic.� <br /> Address <br /> 12815 Canyon Rd E,Suite F,Puyallup WA 96373 pno�e�Emau See Above <br /> TENANT BUSINESS NF.ME CONTAGT FOR PERMII' <br /> Eric LaBrie,(253)838-6113,ericlabrie�;t'esmciviLcom <br /> Pf��one:E-ma�l <br /> BUiLDING PERMIT APPLICATION CONTRnCT FRICE oF WORK <br /> Existing Use of Building____ _ _ HEAT SOURCE: <br /> P�oposed Use of Bwldinr,Nevd Single family Residence-Basic Plan 4756 Gas_X Eiecidc__ oiner___ <br /> Building type: Y. Singie Family _Duplex_Townhouse _Multi-Famiry _Commercial <br /> Type of proiecC X New _ Addition _Remodel _Repair.__ T.I. Si�n Spr�nkler Demolition _ Change of Use <br /> DESCRIPTION OF WORK(addilional spacr,provided on Ihe backi: <br /> �� 2w S� ;e,S��e��e, (3as��� � �l�s -�lev 3 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATfON <br /> Type o(ProJect: _New_Addn _Alteralion_Repair Type of Projecl: _New_Addn _Alteration_Reps�r <br /> Shaw Number(p)o/Iixtures Show Number(#)ol/ixfures <br /> A/C—air handlinq units 3 Tcilet <br /> � Forced air systems 2 Bathlub <br /> p� Gas Gipino 4 Lavatory(wash basin) <br /> 1 Waler heater 1 Shower <br /> 1 Gas fireplace 1 Kitchen sink&disposal <br />� 1 Dishwasher <br /> 1 Gas range <br /> 1 Clothes dryer 1 Clothes washer <br /> 1 Range hood r h <br /> 5 Exhaust(an Sink(servicelbadmoplelc.) <br /> I Heat pump Backflow prevenler <br /> � Unit heater Urinal <br /> I Boiler Drmking Fountain <br /> � Rcfrigeration ' Floor drain <br /> Woodstove Grease lrap <br /> Ducting ' Roof drains <br /> Olher___._ _ Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other. <br /> � Number of Heads �� Other. <br /> i i�i�mcy ccridy tliat I have matl and ezammetl Ilus appl�.e�Lon untl hnow Iha same lo bo Ime o�W conbq A�I prunsicns o'laws and oN�nances govennr9 Ves rype o!wo,ti�•:�9 be complr_�� <br /> ;:eii�eI�CR�er speaLeJ herein or nol.T�e 9rantiny o�s peimil tloes nol pmsume to 9rve aulhorAy lo vro'.ate or cancel Ihe p�ovision ol any c�her sla�e or bwl law rEgWalrtig consVu:Lon <br /> .r.;n i_ar�5lMnzed by Ihe owner ol lh�s propeny lo peAorm I�e worA lor whch appl¢alan 6 ma0e and I wmply with Ihe Siam Con�raclors Law 1827 RCW and 2962004 C:%�:. <br /> / �� <br /> � '✓l/�� /�'�� ��— <br /> OwnedAuthorized• .gent Signature D le iRev�sed E.'Y012) <br />