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� PERMIT APPLICATI� <br /> BUILDI 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 290529004003,290529001021,290529001011, <br /> PROJECT SITE ADDRESS: 3520 3'I St Df, Everett, WA PROPERTY TAX#: 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: POlygOfl WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReer 11624 SE 5th Street, Suite 100 <br /> B2112VU2 cirv WA sTnTE 98005 ziP <br /> OWNER PHONE: 425.586.7700 OWNER EMAIL: alall.palll q�pOlygOflhOflleS.00111 <br /> CONTRACTOR NAME; S8171e aS OWilef <br /> CONTRACTOR ADDRESS: sTREEr Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.586.7700 CONTRACTOR EMAIL:alafl.p8111@pOlygOflhOfll@S.COIII <br /> CONTRACTOR LICENSE#(REQUIRED): pOlygWIH63pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O�J3222 <br /> PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.5H6.7700 <br /> Alan Pani coNracr Ennai�: alan.pani@polygonhomes.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/a Contract Price of Work: $ 116,100.00 <br /> Proposed Use of Building: MUItI-Fat711Iy TOWIlhOf71@S Heat Source: ❑Gas �Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family�#of Units: 4 ❑Commercial ❑Industrial <br /> Type of Project: C�New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: COf1StfUCt UCllt 3C 111 Bldg 'I H.4, 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.��C'is 1,548 SF , 389 sf garage, and 86 sf porch/patio <br /> � <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 Lisf of Fixtures #of List of Fixtures #�f List of Fixtures #of Lisf of Fixtures <br /> Fiztures Fixtures Fixtures 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 � 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 frue and correct. Work done pursuant to this pe�mit must comply with <br /> current federal,state,and local law. The granting of a permit on/y 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. 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 compty with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> � `�1�����- �.,� � �v�o�' d�� <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) � <br /> � <br />