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PERMIT APPLICATI <br /> BUILDIN�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 SITE INFORMATION 2g0529004003,290529001021,290529001011, <br /> PROJECT SITE ADDRESS: 35'I 7 31 St DI', Everett, WA PROPERTY TAX#: � � <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: ShoR Plat/subdlvision Eclipse Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: POIygOft WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: siREEr 11624 SE 5th Street, Suite 100 <br /> Bellevue �,n WA STATE 98005 Z�P <br /> OWNER PHONE: 42rJ.5HG.77OO OWNER EMAIL: alall.palll Q�pOIygOC1I10171@S.00171 <br /> CONTRACTOR NAME: Salll@ aS OWfI@I" <br /> CONTRACTOR ADDRESS: srRFET Same as Owner <br /> CITY STATE � ZIP <br /> CONTRACTOR PHONE:425.586.7700 CONTRACTOR EMAIL:aIBIl.p8111@pOlygOtlhOfTleS.COR1 <br /> CONTRACTOR LICENSE#(REQUIRED): pOlygWIH63pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OrJ32ZZ <br /> PRIMARY CONTACT: I$OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4Z5.5HC.77OO <br /> Alan Pani coNracr EMai�: alan.pani@polygonhomes.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/2 Contract Price of Work: $ 103,575.00 <br /> Proposed Use of Building: MUItI-FafTllly TOWI1hOIlleS Heat Source: ❑Gas �Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-#of Units: 5 ❑Commercial ❑Industrial <br /> Type of Project: L�New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: C011StfUCt UCllt F Ifl BICIg 'I g.4, a Type E - 5 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 5-plex unit is 10,995 total SF, plan type F is 1,381 SF 562 sf garage, 66 sf deck/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 #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <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 4 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:I have�eviewed this application and confirm the information contained herein is true and correct. Wo�k 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 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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 2�z���� C�;� �oa �oa� �, <br /> Owner Aut�Agent Signature Date (Revrsed 10/12/2015) <br />