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f <br /> PERMIZ' APPLICATION <br /> Bl11LDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Ced,:r St.. Everetl.A P ICAT�IONS ARE ACCEP$ED FR M 8 AM T04 PM57 �N'CvOfettW2.Otg <br /> 28051900702400 P�M�Ttt �' -1 <br /> --�� PROPER7Y TAX q � h – �,'.Y <br /> SITE ADDRESS:��p�Z �,,��h Dr SI: <br /> Greenfield Park �oi No 63 (allach copy o��ong leaal descriptionl <br /> LEGAL mr neo:co�:,v���'�rsuhd���s�on_---- (z53�590-2205,marijke.vanstichele�?�lennar.com <br /> Lennar IJorthwest pnone�6mad <br /> OWNER puyallup,WA 98373 <br /> 12815 Canyon Rd E,Sw!e f <br /> CitylSlalelZip <br /> adc-ess <br /> Conlreebr Conlrae�o�sAgeN _Tenanlim,u:�m��:�-emm�edco��se���+�omrc�c..�e��:o��-�"�^i'6'r.'=` <br /> APPLICANT: X O�.+ner _ O�:mer's A9en1 _ —" LENNANI893QG COE Bus.Lie.r <br /> Lennar Northwest L S I Lic.# <br /> CONTRACTOR See Above <br /> tiddrass �z8�S Canyon Rd E.Sui[e f,Puyallup WA 98373 Pno�e;ema�i <br /> CONTACT FOR PERMIT <br /> TENANT BUSINESS NAME Eric LaBrie,Q53)838-61 13,eric.labrie��esmciviLcom <br /> PnonelE-mail <br /> CONTRACT PRICE OF WORK <br /> BJILDING PERMIT APPLICA710N HEAT SOURCE: <br /> Esisting Use oi Building____-- Gas X Electr�c__ Otner___ <br /> proposed Use ot euiidina New Sin91e Family Residence,Basic Plan#416A <br /> Building type: X Single Family _Duplex_Townhouse ,_ <br /> Alulti-Family _Commercial <br /> Remodel Repair__T.I._Sign_Sprinkler_Demolition_Change of Use <br /> 7ype a(project: X New __ Addilion _ — <br /> DESCRIPTIONOFWORKWddirionalspaceprovidedontl�rbacel: . �� ` G Q�p J � <br /> n ' SG �e 5 c�•'(../L �'e- �tiS l c <br /> �, JeuJ � <br /> �—�1 PLUMBING PERMIT APPLICATION I <br /> MECHANICAL PE."��T APPLICATION , JeC _N�w_Addn _���eration_Repair <br /> �c ot <br /> 7ypeof ProjecC _New_Addn _Aii:�����on_Repair - � � ShowNumbcr(#)o(�iximes <br /> Show Nwnber(#1 ul fiztures 3 ' Toilel <br /> � AIC–air handlln w.��s _ 2 6athWb <br /> � Forced air svstems � Lavatory(v+ash basinl <br /> d Gas piping � � ,;r.�wer <br /> � Walen c��.,e=_ � nncnen au��v'��SPosa_I� <br /> � Ga� .�replace � � Dishwasher <br /> � �as range � Cbthes w�asher — <br /> � �Clothes dryer ��_uVale�ealer`. <br /> 7 Range hood � Sink(seivice�barlmoplelcJ <br /> � Exhausttan � Backflow prevenler <br /> i ��— ' ' I Heat pump � Urinal <br /> Unit healer I Drinking Fountain <br /> �� Boiler � Floor drain <br /> ReGi eration � Grease Irap <br /> �'� Woodslove � Roof drains <br /> i Ducting I� Medical Gas <br /> � Othe�_ � Othec <br /> SPRINKLER I SllPPRESSION SYSTEM I pther. <br /> Number ot Heads <br /> I lirreby cmlk�tlmt I lia.�o reatl nii�manuned Ihe oPPlcalan.��4 Anon I�.e same lo�o�me ana cartect.AllO�ovslons ol laws ond orCirmnces gove����n9lhi;ty0e ol work wJl ba mmpled <br /> I wilh Ihe Slale Conlractors Ww 18 77 RGW 3nG 25fi 200A WA� <br /> ,.,�.i,�;�ne pecfmtl hue��n oi nol The 9ranling ol a pennn doas not presume lo m�e aulhoiny to vnlale or wncel ihe O�ovision o�any olher slaic or bwl law reguWtm9 constmc a� <br /> 1�.0 i am au0 r¢etl 6y tl��ol lhu property lo Dedomi ihe woik lor whkh app�w��bn a ma0e ond 1 com0 Y <br /> �� / ^..6/r�/� (Revised 6/2012) <br /> ��.! �'� <br /> � D+le �' <br /> Ow�crlAuthorized AgEnt Signature 7j <br />