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3317 30TH DR 2018-01-19
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3317 30TH DR 2018-01-19
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1/19/2018 4:01:32 PM
Creation date
1/19/2018 4:01:21 PM
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Address Document
Street Name
30TH DR
Street Number
3317
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, <br /> PERMIT APPLICATION• <br /> BUILDIN�ECHANICAL/ 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 <br /> PROJECT SITE ADDRESS: 33�7 3OtIl Df, Everett, �/�//-� PROPERTY TAX#: 290529001014,005760001000,005760002000, <br /> 004390805017 004390805025 009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse 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 cirv WA sTnre 98005 ziP <br /> owNER PHONE: 425.586.7700 owNeR EMAi�: alan.pani@polygonhomes.com <br /> CONTRACTOR NAME: SBflle 8S OWtl2f <br /> CONTRACTOR ADDRESS: srR�Er Same as Owner <br /> cirv sTnTE ziP <br /> CONTRACTOR PHONE:425.rJH6.77O0 CONTRACTOR EMAIL:8I8f1.p8111@pOIygOC1f101712S.COfTI <br /> CONTRACTOR LICENSE#(REQUIRED): pOIygWIHF)3pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OrJ3222 <br /> PRIMARY CONTACT: f�OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.5HC.77OO <br /> Alan Pani cortracT 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: MUltl-FBtlllly TOWnh0171@S Heat Source: ❑Gas �Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-#of Units: 6 ❑Commercial ❑Industrial <br /> Type of Project: I�New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: COC1StfUCt Ullit �D ICl Bldg 2O.rJ, a Type B - 6 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 6-plex unit is 11,005 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 List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixfures Fixtures Fixtures 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 a/ 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 irue and correct.Work done pursuant to this permit must comply with <br /> cu�rent 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.I am the owner,or I am authorized by the owner o(this propeRy to perform the work for which application is made, <br /> and 1 comply with!he State Conlractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use On/y <br /> PERMIT# A� <br /> Q,QQ.11� �_ �Q.►'L,L 04.06.16 '�✓� �i�} "( � ���1 <br /> OwnerlAuthorized Agent Signature Date (Revised 10/12/2015) � <br /> � <br />
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