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PERMIT APPLICATION <br /> BUILDING ECHANICAL/PLUMBING /SIGN i �INKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-II857 �(E)everetteps@everettwa.gov� www.everettwa.govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1915-78TH PL SE PROPERTY TAX#_ <br /> LEGAL for new constn�ction: Short PlaUsubdivisionALPINE HEIGHTS Lot No. 13 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC TENANT NAME(If Commercial): <br /> OWNER MAIUNG ADDRESS: srREET 120 SW EVERETT MALL WAY SUITE 100 <br /> ciTv EVERETT srnrr WA ziP 98204 <br /> OWNER PHONE: 3 6 0-9 5 3-2 8 0 0 OWNER EMAIL:WWW.S EAPACHOMES.COM <br /> CONTRACTOR NAME: SEA PAC HOMES <br /> CONTRACTOR ADDRESS: srReeT 120 SW EVERETT MALL WAY SUITE 100 <br /> cirv EVERETT STATE WA ziP 98204 <br /> CONTRAGT�JR PHONE:3 6 0-9 53-2 8 0 0 CONTRACTOR EMAIL:W�/'�W.SEAPACHOMES.COM <br /> CONTRACT��R LICENSE#{REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY C�JNTACT: ❑ OWNER � CONTRACTOR ❑ OTHER(Please Specify) __ _ <br /> CONTACT NAME: STEVE SNYDER CONTACT PHONE: 425-319-0122 <br /> CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM <br /> BUILDING PERMIT APPLICATION <br /> Existin Use of Building: ContraCt Price of Work:S _______,_. . __ <br /> Proposed Use of Buildin : SFR Heat Source: ❑Gas L�Electric ❑Other <br /> Buflding Type: ❑SFR-Detached �1SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commerciai ❑Industrial <br /> T e of Pro ect: �7New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTIpN 01=WORK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL ATTACHED DWELLINGS <br /> LIVING - 1816 GARAGE - 613 <br /> ASSOCIATED BUILDING PERMIT# if a licable : s�l��l`� v `�' <br /> MECHANICAL PERMIT APPLI�ATION PLUMBING PERMIT APPLlCATlON <br /> Type of Project: X New _ Addn _Alteratlan _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Frxtures #of List of Fixiures ��t List of Fixiures #°f List of Fixtures <br /> Fixiures Fixtures Fixtures Fixtuies <br /> A/C—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bidg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> Gas Piping Boiler 4 �avatory(Wash Basin) Drinking Fountain <br /> Water Heater ftefrigeration 1 Shower Floor Drain <br /> Gas Firep!ace V�,00d Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ran e Ducting 1 Dishwasher Roaf Drains <br /> 1 Clothes Dryer Hookups Other. 1 Clothes Washer Medical Gas <br /> 1 Range Hood 1 Water Heater 2 Other: HOSE BIBS <br /> 5 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER! SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWtEDGEMENT.1 have revieweo'this applicatio�and con/irm the intormation contained herein is true and correct. Work done pursuant to thrs permit must comply with <br /> current federal,sfate,and local law. The granting oi a permit only authorizes approved work and no deviations therefrom.Deviations must first be authonzed in writing from the <br /> Buildr+�a 011ic�af be%re being auihorized under any crrcumstance.1 am!he owner,or 1 am authorized by the owner of this properiy to pertorm the work for whrch applrcation rs made, <br /> and I comply with the�ate Contractors Law 1827 RCW and 296.200A WAC. <br /> � � City ol Everett Oflicial Use Only <br /> PERMIT# <br /> ;t�.J` - 3-4-16 � �lv(,' J �l�' 1 1 <br /> OwnerlAuthorized A nt Signature Date (Revised 70/i2/2075) <br />