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, • PERMIT APPLICATIO� <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ 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 2go529o04003 290529001021 290529001011 <br /> PROJECT SITE ADDRESS: 3304 31 St Dr., Everett, �/,/A PROPERTY TAX#: 290529001014,005760001000,005760002000, <br /> 004390805017 004390805025 009953000010 <br /> LEGAL for new construction: Short Plat/subdivision ECIIpSe _ Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: POIygOCI WLH, LLC TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: srREET 11624 SE 5th Street, Suite 100 <br /> Bellevue ��n WA STATE 98005 Z,P <br /> OWNER PHONE_ 425.586.7700 OWNER EMAIL: 8I811.p8fll@pOIygOC1h0171BS.COf11 <br /> CONTRACTOR NAME: SafTl@ aS OWf12f <br /> CONTRACTOR ADDRESS: siReET Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.5H6.77O0 CONTRACTOR EMAIL:BIaCl.p8lll C�l pOIyg011f1011l2S.COf11 <br /> CONTRACTOR LICENSE#(REQUIRED): pOIygWIHG3pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O�J322Z <br /> PRIMARY CONTACT: I�OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42S.5H6.77O0 <br /> Alan Pani coNracT Enn,ai�: alan.pani@polygonhomes.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/8 Contract Price of Work:$ <br /> Proposed Use of Building: MUltl-F217111y TOWC1hOITleS Heat Source: ❑Gas �Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-#of Units: 7 ❑Commercial ❑Industrial <br /> Type of Project: L�9New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: COnStfUCt Ulllt 'I D I11 Bldg 1.2, a Type C - 7 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 7-plex unit is 12,696 total SF, plan type E1 D is 1,344 SF, 322 sf garage, and 95 sf porch/patio <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: X New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures Lisf of Fixtures List of Fixtures <br /> Fiarlures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater � Bathtub Urinal <br /> Gas Piping Boiler 3 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove ,2' Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting 1 Dishwasher Roof Drains <br /> � Clothes Dryer Hookups Other: � Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> 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 on/y authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from ihe <br /> Building Official before being authorized under any circumstance.1 am the owner,or I am authorized by the owner o(this property to perform the work for which application is made, <br /> and I comply with ihe State Contractors Law 1827 RCW and 296.200A WAC. <br /> Ci1y of Everett Official Use On/y <br /> PERMIT# <br /> (��, �_ {��, 05125116 � p -Q� � <br /> OwnerlAuthorized Agent Signature Date (Revised 10/12/2015) � <br /> � � <br />