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PERMIT APPLICATION <br /> BUILDING =CHANICAL/ PLUMBING I SIGN� RINKLER/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: 1923-78TH PL SE P�OPERTY TAX#: <br /> LEGAL for new construction; Shcrt Platlsubdivision�PINE HEIGHTS Lot No. 1� (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC TENANT NAME(If Commercial): <br /> OWNER MAIIING ADDRESS: srREEr 120 SW EVERETT MALL WAY SUITE 100 <br /> ciTv EVERETT STATE wA ziP 98204 <br /> OWNER PHONE: 360-953-2800 OWNER EMAIL:WWW.SEAPACHOMES.COM <br /> CONTRAGTpR NAME: SEA PAC HOMES <br /> CONTRACTOR ADDRESS: srRee7 120 SW EVERETT MALL WAY SUITE 100 <br /> cirv EVERETT STATE WA ziP 98204 <br /> CONTRACTOR PHONE:3 6 0-9 5 3-2 8 0 0 CONTRACTOR EMAIL:WWW•SEAPACHOMES.COM <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EYERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ 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 /> Existing Use of Buiiding: Contract Price of Work:S ______ __.__ ___ _ _ <br /> Pro osed Use of Building: SFR Heat Source: ❑Gas I�Electric ❑Other <br /> Building Type: ❑SFR-Detached �1SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommerciai ❑Industriai <br /> T e of Pro'ect: �]New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION Of WQRK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL ATTACHED DWELLINGS <br /> LIVING - 1816 GARAGE - 613 <br /> ASSOCIATED BUILDWG PERMIT#(if a plicable): ��� � <br /> i ' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLlCATION <br /> Type of Project: X New __ Addn _Alteration ____Repair Type of Project: X New _Addn Alteretion _Repair <br /> #of List of Fixtures #of List of Fixtures ��f Lisf of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C-Air Handling Units Heat Pump 3 Toilet Backflow Preventer(inside Bldg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> Gas Piping Boiler 4 Lavatory{Wash Basin) Drinking Fountain <br /> V��ater Heater Refri eration 1 Shower Floor Drain <br /> Gas Fireplace Wood 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 Ranqe Hoad 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 /> ACKNOWLEDGEMElVT.I have reviewed this appl+cation and confirm the in/ormalion contarned herein is true and correct. Work done pursuant to thrs permit must comply with <br /> current federal,state,and local law. The granting o(a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in wr'ning from the <br /> 8uilding O(ficial be%re berng authorized under any crrcumstance.1 am Ihe owner,or I am authorized by the owner of thrs property to pertorm the work lor which applrcatron is made, <br /> and 1 comply with the afe Contractors Law 1827 RCW and 296.200A WAC. <br /> City ol Everett Official Use Only <br /> /� � PERMIT tk / t,, <br /> F�� ,kJ�-�-�-� 3-4-16 l� � li/� � — ��� <br /> Owner/Authorized A nt Signature Date (Revised 10/72/2015) <br />