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PERMIT APPLICATI <br /> BUI�DI� MECHANICAL / PLUMBING / SIG 'PRINKLER/ 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 SITEJNFORMATION 2g 529004 2 52 061021 29 529001011 <br /> PROJECT SITE ADDRESS: 3460 31 St DI", Everett, WA PROPERTY TAX#: 29o52soo�0�4, 005760001000,005760002000, <br /> 004390805017 004390805025.009953000010 <br /> LEGAL for new construction: Short PlaUsubdivision ECIIpS@ Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: POIY90C1 WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREEr 11624 SE 5th Street, Suite 100 <br /> Bellevue �,n WA STATE 98005 Z,P <br /> OWNER PHONE: 425.5H6.77O0 OWNER EMAIL: aIBll.pafll q�pOlyg011f101112S.00171 <br /> CONTRACTOR NAME: Salll@ 8S OWI1@f <br /> CONTRACTOR ADDRESS: sTREEr Same as Owner <br /> GTY STATE ZIP <br /> CONTRACTOR PHONE:425.586.7700 CONTRACTOR EMAIL:a18Cl.pafll@pOlygOflh0111@S.COCTI <br /> CONTRACTOR LICENSE#(REQUIRED): pOIygWIH63pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OrJ32Z2 <br /> PRIMARY CONTACT: �OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani coNr,acr Ennai�: alan.pani@polygonhomes.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/8 Contract Price of Work: $ 100,800.00 <br /> Proposed Use of Building: MUltl-F817111y TOWIlhOIlleS Heat Source: ❑Gas �Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-#of Units: 4 ❑Commercial ❑Industrial <br /> Type of Project: L�New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: COIIStfUCt Uflit 1 D Iil BICIg 1 H.2, a Type A -4 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 4-plex unit is 7,551 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 /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <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:l have reviewed this application and confi�m the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and loca/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 Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the 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 /> Z/zL ��6 C��lo����(� <br /> Own thorized Agent Signature Date (Revised 10/12/2015) � <br />