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PERMIT APPLICATION <br /> BUILDING =CHANICAL/PLUMBING/SIGN/ �INKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1921-78TH PL SE PROPERTY TAX#: <br /> LEGAL for new construction Short Ptat/subdivisionALPINE HEIGHTS Lot No. 11 {attach copy of long legal description) <br /> CONTAGT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC TENANT NAME(If Commercial): <br /> QWNER MAILING ADDRESS: srREer 120 SW EVERETT MALL WAY SUITE 100 <br /> ciTv EVERETT srnre WA ziP 98204 <br /> OWlVER PHONE: 360-953-2800 OWNER EMAIL:WWW.SEAPACHOMES.COM <br /> COIVTRACTOR NAME: SEA PAC HOMES <br /> CONTRACTOR ADDRESS: srREeT 120 SW EVERETT MALL WAY SUITE 100 <br /> ciTv EVERETT STATE WA zir� 98204 <br /> CONTRACT�DR PHONE:3 6 0-9 5 3-2 8 0 0 CONTRACTOR EMAIL:WWW.S EAPACHOMES.COM <br /> CONTRACT�OR LICENSE#(REQUIRED}: CITY dF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACTNAME: STEVE SNYDER CONTACTPHONE: 425-319-0122 <br /> CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: ContraCt Price of Work:S____—__.. _ __.__. ___ __ _— <br /> Pro osed Use of Buildin : SFR Heat Source: ❑Gas C�Electric ❑Other <br /> Building Type: ❑SFR-Detached �1SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑tndustriai <br /> T e of Pro ect: �INew ❑Addition ❑Rem�del ❑Re air ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION 01=WpRK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL ATTACHED DWELLINGS <br /> LIVING - 2435 <br /> GARAGE - 385 <br /> ASSOCIATED BUILDING PERMIT#(if a plicable): ! l�✓"� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: X New _ Addn _Alteration _Repair Type of Project: X New _Addn _Alteration _Repair <br /> #of List of Fixfu�es #of List of Fixtures #of List of Fixtures #of List of Fixtu�es <br /> Fixtures Fiartures Fixtures Fixtures <br /> A/C-Air Handling Units Heat Pump 4 Toilei BackFlow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> Gas Pipiny Boiler 5 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refri eration 2 Shower Floor Drain <br /> Gas Fireptace Vlfood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting 1 Dishwasher Roof Drains <br /> 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> 1 Range Hood 1 Water Heater 2 Other: HOSE BIBS <br /> 6 Exh�ust Fan Sink(Service/Bar(Mopletc.) Other. <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.!have reviewed this application and conlirm the information contarned herein is true and correct. Work done pursuant to thrs permit must compty with <br /> current federal,state,and local law. The granfing of a permit only authorizes approved work and no deviations therefrom.Deviations must(irst be authorized in writing from the <br /> Suilding OI/icra!belore being authorrzed under any crroumstance.1 am the owner,or I am authorized by the owner of thrs property to per/orm the work for which app6cation is made. <br /> and 1 comply with the ate Coniractors Law 18.27 RCW and 296.200A WAC. <br /> � City o1 Everett Ofticial Use Only <br /> PERMIT# /� /- /�/ <br /> �'.� 3-4-16 l.� �l�J� � — V1 � <br /> Owner/Authorized A nt Signature Date (Revised 10/72/2015) <br /> � `�� � <br />