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PERMIT APPLICATION <br /> BUILDINGOECHANICAL/PLUMBING/SIGNRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICE <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2004-78TH PL SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat1subdivisionALPINE HEIGHTS Lot No. 3 6 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 120 SW EVERETT MALL WAY SUITE 100 <br /> civ EVERETT STATE WA zip 98204 <br /> OWNER PHONE: 360-953-2800 OWNER EMAIL:WWW.SEAPACHOMES.COM <br /> CONTRACTOR NAME: SEA PAC HOMES <br /> CONTRACTOR ADDRESS: STREET 120 SW EVERETT MALL WAY SUITE 100 <br /> cnv 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 EVERETT 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 Building: Contract Price of Work:$__ zL 7J <br /> Proposed Use of Building: SFR Heat Source: ❑Gas [3Electric ❑Other <br /> Building Type: ❑SFR-Detached EISFR-Attached ❑Duplex []Multi-Family-#of Units. ❑Commercial ❑Industrial <br /> Type of Project: 21New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sin []Sprinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL ATTACHED DWELLINGS <br /> LIVING - 1816 GARAGE - 613 <br /> THIS IS THE MARION PLAN <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: X New Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List 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 /> Water Heater Refrigeration 1 Shower I Floor Drain <br /> Gas Fireplace Wood Stove I Kitchen Sink&Disposal Grease Trap <br /> Gas Ran a 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 /> 5 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the ate Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 3-15-16 (2) ( (p0 (p'72 <br /> Owner/Authorized A 96nt Signature Date (Revised 10/1212015) <br />