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RERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBII�IGISIGN/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 fROM 8 AM TO 4 PM <br /> SITE ADDRESS:�0020 121h D�SE PROPERTYTA%Nzg051900702400 P� ITM <br /> i <br /> LEGAL lor new cons�ruction- Shon PlaVsubtlrvision <br /> Greenfield Park Lot No 6S (attach copy o/long legal tlescnplion) <br /> OWNEF �ennar Northwest pno�eie�mad (Z53)590-2205,marijke.vanstichel@lennaccom <br /> Ada�ess �ZC�5 Canyon Rd E,Suite F Cnyis�aie2ip Puyallup,WA 98373 <br /> APPLICANT: xOw:�e� Owner'sAgent Contractor ComractorsAgent _7enant�m�:io�=.•�aae•x�oim�sa�;+om��ao..,e�wao..c���,mosc�.�i <br /> CONTRACTOR Lennar Northwes[ L 8 I Lic.#LENNANI893QG COE Bus. Lia# <br /> Adtlress <br /> 12815 Canyon Rd E,Sui[e F,Puyallup WA 98373 pnone�ema�i See Above <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Eric LaBrie,(253)838-6113,eric.labrie���esmciviLcom <br /> Phonel[-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRiCE OF WORM <br /> Existing Use af Building HEAT SOURCE: <br /> Proposed Use of Building New Single Family Residence,Basic Plan k416�y cas X eieanc_ otner_ <br /> Bwlding type: X Single Family _Duplez_Townhouse _Multi-Family _Commercial <br /> Type of project X New _Addition Remodel _Repair_T.I.__Si n_Sprinkler_Demolition_Chan e of Use <br /> DESCRIPTION OF WORK(addilional space pmvided on tne bacti)�, <br /> , ,,-, �, �, �,��, ��;� � �3 <br /> iJ zw 7 f � C'S�de�cz •,-L.-;;,__ � ,. . <br /> � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION �i <br /> 7ype ol Project: _New_Addn _Alteretion_Repair Type ol ProjecC _New_Addn _Alleralion_Repair <br /> Shaw Numbe�(N)o�fixrores Show Number�pJ ol fizmres <br /> A/C—air handling units 3 Toilet <br /> 1 Forced air s stems 7 Bathtub <br /> Gas pipin 4 Lavatory(wash basin) <br /> 1 Water heater 1 Shower <br /> 1 Gas fireplace 1 Kilchen sink&disposal <br /> 1 Gas ran e 1 Dishwasher <br /> Clothes dryer 1 Clothes���asher <br /> 1 Ran e hood <br /> 5 Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventar <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refrigeretion Floor drain <br /> Woodstove Grease Vap <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Othec <br /> Number of Heads Other: <br /> I nerr.t�y cerLty Rial I Imvu teao a�u�uRamineE I�iS oppbcation an�know Ilie same�o bo Vue and cortect AII Orewsions ot laws ana or0inances Boveming Ihis type olwork will�e wmplrea <br /> �vAli�:^�ellm�spenfie�f�e�em or not.The gtenlinB ot a pormd aoes not Fresvmo lo B�vo authorily to violato o�[aneCl t�a p�ovlswn 01 nny ot�e�s�ato or lowl lvw rcguWlinp eonsW elion <br /> lp:tl�am:cNionzeel l�y ine mvner ol mis pmpetly lo petlonn rt��e vmrk lor wluch appl¢auon is maEo and I wmpty wt�I�e 9a�e ConVaelors Law 1B 2]RCW ana 296100A WAC. <br /> �1 <br /> .� � L- '1�-`; , �__ �' ,� � i� Z <br /> OwncrlAUBwrized Agent Signature Date (Revisetl fii2012) / <br /> L <br />