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, <br /> PERMIT APPLICATION <br /> BUILDIN�ECHANICAL/ PLUMBING / SIGN /S RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-88'10 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� ww„v.everettwa.gov/permits <br /> PROJECT SITE INFORMATION 2g0529004003,290529001021,290529001011, <br /> PROJECT SITE ADDRESS: 332rJ 3OtI1 DC, Everett, �/�/A PROPERTY TAX#: � � <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eelipse Lot No.� (attach copy of long legal description) <br /> CONTAET INFORMATION <br /> OWNER NAME: POIygOtl WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReeT 11624 SE 5th Street, Suite 100 <br /> Bellevue �,n WA STATE 98005 z,� <br /> owNER PHONE: 425.586.7700 owNER EMai�: alan.pani@polygonhomes.com <br /> CONTRACTOR NAME: S8171@ 8S OWt1@f <br /> CONTRACTOR ADDRESS: srHE�1 Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.5HFi.77OO CONTRACTOR EMAIL:8I8f1.p8111@pOIygOIIIlOt71eS.COt71 <br /> CONTRACTOR LICENSE#(REQUIRED): pOIygWIH63pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OrJ3222 <br /> PRIMARY CONTACT: L�OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42.Jr.cJ86.7700 <br /> Alan Pani coNrACT EnnAi�: 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-F817111y TOWI1hOI712S 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�9New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: COC1St1'UCt Utllt 3B Itl Bldg 2O."I, 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 E3B is 1,560 SF, 389 sf garage, and 69 sf porch/patio <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PWMBING PERMIT APPLICATION <br /> Type of Project: X New _ Addn _Alteration _Repair Type of Project: X New _Addn Alteration _Repair <br /> #of Lisf of Fixtures #�f List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixiures Fixtures Fixfures Fixtures <br /> A/C—Air Handling Units Heat Pump 4 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater � Bathtub Urinal <br /> Gas Piping Boiler 5 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 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:1 have�eviewed this application and confirm the information conlained herein is ta�e and correct.Wo�k done pursuan!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 musi firsf be authorized in writing from 1he <br /> Building Official befo�e 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 1 comply with the State Confractors Law 18.27 RCW and 296.200A WAC. <br /> City of Eve�ett OKicial Use Only <br /> � " � PERMIT# /� <br /> lA.el,i.l'L �_ �LLl1,t� 04.06.16 �- � Y1�%� -" �(J �j <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />