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PERMIT APPLICATIOf� <br /> BIiILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everelt, WA 98201 425-257-8810 FAX 425-25?-6857 www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE AD�RESS:�0 01 6 1 2111 Df SE PROPERivTAX N Zg051900102400 � MIT <br /> LEGAL for new conslmction snon Piavsu�mv�s�on Greenfield Park �o�No 6� (attach copy ot long legal tlescnption) <br /> oWNER Lennar Northwest PnoneiE-mad (z53)590-2205,marijke.vanstichel@lennaccom <br /> nadr�ss �z8�5 Canyon Rd E,Swte F city�Staterz�p Puyallup,WA 98373 <br /> APPLICANT: XOwner Owner'sAgent Co�aractor Contracmr',Agent Tenan��m�,sio«�,aea�rPiorca�seoinommeo+�.e�wa.��:�.��ome�o.,n� <br /> CONTRACTOR Lennar Northwest L 3 I Lic.#LENNANI893QG COE Bus.Lic.# <br /> nadress �Z8�5 Canyon Rd E,Sui[e F,Puyallup WA 98373 P�onelEmail See Above <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBrie,(253)838-6113,ericlabrieC�esmciviLcom <br /> Phone/6mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exisling Use of Building HEAT SOURCE: <br /> Proposed Use o(euiiding New Single Family Residence-Basic Plan 415A cas X eiectr�c_ ome�__ <br /> Building type: X Single Family _Duplez_Townhouse _Muiti-Family _Commercial <br /> T pe of pro ecC X New _Addilion _Remodel _Repair_T.I._Si n_Sprinkler_Demolilion_Chan e of Use <br /> DESCRIPTION OF WORK�addinonal space prov�detl an tne bactil: <br /> � <br /> �Jk'w �"� l.�C .���'��Z 1ii;��'�c: � �IC;> ,,; �V�V:e�l� �•. :1 i <br /> i i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot Pmject _New_Addn _Altcratlon_Repafr Type oi ProjecC _New_Atltln _Allcration_Repair <br /> Show Nurtr6cr(p)o!tinures Show Number(ll)olliulwes <br /> A/C—air handling units 3 Toilel <br /> 1 Forced air systems 2 Bathtub <br /> Gas piping 4 Lavato (wash basin) <br /> 1 Water heater 1 Shower <br /> 1 Gas fireplace 1 Kitchen sink 8 disposal <br /> 1 Gas ran e 1 Dishwasher <br /> Clothes dryer 1 Clothes washer <br /> 1 Ran e hootl a er ea <br /> S Exhaust tan Sink(servicelbar/mopletc.) <br /> Heat pump Backflow preventer <br /> Unit healer Urinal <br /> Boiler Drinkin Fountain <br /> Refrigera?ion Ftoor drain <br /> Woodstove Grease trep <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other. <br /> I hereby eendy I�al l have iea0 nntl eaammed IMs apphcalion ane know tLe same to�e In�e and conecl.ldl V�o+�sions ol laws ana orainances Boveinin0�his type olwork wll�e comphetl <br /> vuih�Melher speo6e0 herein or nol.T�e granlinB ol a permil does nN presume la grve aulhonty�o violale ar cancel l�e 4�ovision ol any ot�e�slale or IorAI law regulaling consW clion <br /> Ihot i am aulnonzeu by Ine ewner ol lnis property to petlorm Ine work lor wn¢h apphcatron is maCe an01 comply wa�Ue Sla�e Convacmrs Ww 18 P7 RGW antl 296.200A WAC. <br /> 7 <br /> � / _' ' y <br /> � �.`L-�(.� �, .i��� � � �t��i.'�_ <br /> 1 <br /> OwnedAuthorized A9ent Signaturc Oate lRe+ised 6/2072) , I� <br />