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• PERMIT APPLICATI� <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 2g0529004003 290529ooio2i 290529001011 <br /> PROJECT SITE ADDRESS: 33�O 3'I St DI'., Everett, �/�l,q PROPERTY TAX#: 290529001014,005760001000,005760002000, <br /> 004390805017 004390805025 009953000010 <br /> LEGAL for new construction: Short PlaUsubdivision Eclipse Lot No.� (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: POIygOn WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srkEET 11624 SE 5th Street, SUlte �00 <br /> Be112VU2 ciTv WA srnTe 98005 ziP <br /> OWNER PHONE: 425.5H6.77O0 OWNER EMAIL: alan.patll@POI�/gOIlI101712S.COt71 <br /> CONTRACTOR NAME: Sa1712 aS OWIl2C <br /> CONTRACTOR ADDRESS: sTREEr Same as Owner <br /> CI71' STATE ZIP <br /> CONTRACTOR PHONE:425.5HF).7700 CONTRACTOR EMAIL:BIatl.p8111@pOIygOIlIl01712S.COfTI <br /> CONTRACTOR LICENSE#(REQUIRED): pOIygWIHE3pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OrJ3222 <br /> PRIMARY CONTACT: l�l OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.5H6.77O0 <br /> Alan Pani coNra,cT EnnAi�: alan.pani@polygonhomes.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N�a Contract Price of Work: $ <br /> Proposed Use of Building: MU111-FalTllly TOWI1h01712S Heat Source: ❑Gas �Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-#of Units: 7 ❑Commercial ❑Industriai <br /> Type of Project: �New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: COt1StfUCt Ulllt "I E IIl Bldg 'I.5, 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 E is 1,332 SF, 322 sf garage, and 44 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 List of Fixtures #�f Lisf of Fixtures #of Lisf of Fixfures #of List of Fixtures <br /> Fi�rfures Finfures Fixfures Fixfures <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 /> � Gas Fireplace Wood Stove �� Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting � Dishwasher Roof Drains <br /> � Clothes Dryer Hookups Other: � Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan �Sink(Service/Bar/Mopletc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:1 have reviewed this applicafion and confirm the info�mation contained herein is true and correct.Work done pursuant to this permit must comply wifh <br /> current federal,sfate,and local law. The granting of a permit only authorizes approved work and no deviations there(rom.Deviations musi first be auihorized in writing from the <br /> Building OKicia/before being authorized under any cfrcumstance.I am the owner,or I am authonzed by the owner of thfs property fo per(orm ihe work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Q�.� �_ �� 05/25/16 t�il Cp D �✓D �7 3 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> � � <br />