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PERMIT APPL.ICAT�ON <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SP�,INKLER/DEMOLiTION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett, WA 98201 425-257-8810 FAX 425-257-8857 vrv+w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTYTAX71z8051900102400 PERM�# <br /> 10024 Rth DrSE L, <br /> �EGa�ior new consuua�on snon aiavsuoo���smn Greenfield Park Lol No 66 (avach copy o�long legal description) <br /> OWNER Lennar Northwest Pnone�E�mad «53)590-2205,marijke.vanstichel��lennar.com <br /> namess <br /> 1281 S Canyon Rd E,Suite F c�tyiStaie�z�p Puyallup,WA 98373 <br /> APPLICANT: XOviner Ownei'SAgent Contractor Coniraclor'sAgent Tenam�T,�.�o�o���.oaau��mco�somnomreo+.�.r�:=eown��ne.c��� <br /> CONTRACTOR Lennar Northwest L&I Lic.#LENNANI893QG COE Bus. Lic.# <br /> Adtlress <br /> 12815 Canyon Rd E,Suite F,Puyallup WA 98373 pno�ertma�i See Above <br /> TENANT BUSINESS NAME CONTACI�FOR PERMIT <br /> Eric La6rie,R53)838-6113,ericlabrie@esmciviLcom <br /> Phcne�E�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE' <br /> proposed Use of Building n!ew Single Family Residence-Basic Plan 415� Gas X Electnc__ ��her_ <br /> Building�ype: x Single Family _Duplez_,Townhouse _Multi-Family _Commercial <br /> Type of pro ecl: X.New _Addition Remodel Repair_T.I._Si n__Sprinkler_Demolition_Chan e of Use <br /> DESCRIPTION OF WORK(additional space pmvitletl on(he�ack): <br /> �� �w j � �;-�5•. GP��P }z�sic -fS �ll�� ��'i'J'�� ���^- � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Projecl: _New_Addn _Alteration_Repair Type of Project: _New_Adtln _Allerollon_Repalr <br /> Show Num6cr(a/o!lirtares Show Numbe�(�)ol lixmres <br /> AIC—air handling units 3 Toilet <br /> 1 Forced air systems 2 Baihtub <br /> Gas pipin 4 Lavalo (wash basin) <br /> 1 Water heater 7 Shower <br /> 1 Gas Ureplace 1 Kitchen sink 8 disposal <br /> 1 Gas range 1 Dishwasher <br /> Clothes dryer 1 Cbthes washer <br /> 1 Range hood ' <br /> 5 r Exhaust fan SinY.(servicelbarlmopletc.) <br /> Heal pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refrigera�ion Floor drain <br /> Woodstove Grcase trap <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKI_ER 1 SUPPRESSION SYSTEM Olher. <br /> Number of Heads Othec <br /> I IinreUy cuNly ipat I Lnvc mad ann n.anunen tbis apP���alian ond know Uie same lo be Vuo and eortecl.All pmmsions o/laws nn0 ortlmances govoming I�is type ol woM1 atll be comp4eE <br /> r:n.li v.neV�rr sperficn I�erem or nol ihe praNmp o/a pertnll aoes nol presume b B'�o authonry to clalate or canrel l�e Omvisbn ol any ot�er slate or IOWI Nw re9ulalinp mnsluiclion <br /> inat i;uu uml�aiaca�y mc mmer ol l�is pro0eny lo perlo.m I�e woix lor w�ich appl¢alion is matle anE I comply wnh I�e Slale Comrartors Law 1827 RCW and 296100A WAC. <br /> � � <br /> .1 / <br /> \. , ' �� . "_�__._—__—_"_- ��/��� <br /> Owncr/Aulhorized A9ent Signahre �e (Revised 6/20121 II� <br />