Laserfiche WebLink
t <br /> PERMIT APPLICATION <br /> BUILDING � ECHANICAL / PLUMBING /SIGN /�INKLER / 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 290529001021 290529001011 <br /> PROJECT SITE ADDRESS: 332� 3Otfl Df, Everett, �/1/A PROPERTY TAX#: 290529001014,005760001000,005760002000, <br /> 004390805017 004390805025 009953000010 <br /> LEGAL for new construction: Short Plat/subdivision EC�IpS2 Lot No.� (attach copy of long legal descnption) <br /> CONTAGT INFORMATION <br /> OWNER NAME: POIygOfl WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReeT 11624 SE 5th Street, Suite 100 <br /> Bell2VUe ciTv WA sTnTe 98005 ziP <br /> OWNER PHONE: 42`J.5HC.77OO OWNER EMAIL: 8Ia11.p8tll@pOIygOIIIlOt71G'S.COtII <br /> CONTRACTOR NAME� S8fl1e 8S OWCI@C <br /> CONTRACTOR ADDRESS: sTKe�r Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.5H6.77O0 CONTRACTOR EMAIL:8I811.p8C11@pOlygOt1h01718S.COfII <br /> CONTRACTOR LICENSE#(RE4UIRED): pOIygWIH63pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OrJ3222 <br /> PRIMARY CONTACT: f�l OWNER ❑CONTRACTOR ❑OTHER(Piease Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.770� <br /> Alan Pani coNTacT 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: MUItI-F8CT11Iy TOWIlIl011'1@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: C�New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: COtlStl'UCt Ufllt 'I C Ill Bldg 20.3, 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 E1C is 1,332 SF, 322 sf garage, and 49 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 /> Fixfures List of Fixtures Fixtu es ��sf of Fixtures #�f List of Fixfures #°f List of Fixtures <br /> Fixfures Fixfures <br /> A/C—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bidg) <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/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:1 have reviewed this application and confirm the information contained herein is true and cor�ect. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authonzes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Oflicial be(ore being authorized under any circumstance.I am ihe owner,or I am authorized by the owner o(this property to perform the work for which applicafion is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City o(Evereti OSicial Use Onty <br /> PERMIT# 1� <br /> U,� �_ �Q,!'t,1. 04.06.16 �- ���� ` ^ �.G � <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> �z= <br />