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PERMIT APPLICATION <br /> "11111°P--H"--:A <br /> BUILDING cHANICAL/PLUMBING/SIGN 1 I pRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICItti <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps©everettwa.gov I rvww.everettwa.govipermits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS;?9 2 5 2 0TH AVE SE <br /> PROPERTY TAX# <br /> LEGAL for new construction: Short PlatisubdivisionALPINE HEIGHTS Lot No. 54 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC TENANT NAME(If Commercial):, <br /> OWNER MAILING ADDRESS: smeEr 120 SW EVERETT MALL WAY SUITE 100 <br /> carr EVERETT STATE WA ZIP 98204 <br /> OWNER PHONE: 360-953-2800 OWNER EMAIL:WWW.SEAPACHOMES.COM <br /> CONTRACTOR NAME: SEA PAC HOMES . <br /> CONTRACTOR ADDRESS: STREET 120 SW EVERETT MALL WAY SUITE 100 <br /> crry EVERETT STATE WA zip 98204 <br /> CONTRACTOR`PHONE:360-953-2800 CONTRACTOR EMAIL:WWW.SEAPACHOMES.COM <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: D OWNER 12{I CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: STEVE SNYDER CONTACT PHONE: 4 2 5-319-012 2 <br /> CONTACT EMAIL: STEVE.S@SEAPACHOMES.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: <br /> Proposed Use of Building: SFR Heat Source: OGas13Electric DOther <br /> Building Type: DSFR-Detached EISFR-Attached ❑Duplex DMulti-Family-#of Units: _ 0Commercial ❑industrial <br /> Type of Project: IMINew ©Addition DRemodel DRepair DT.I. ❑Sign DSprinkler ❑Demolition DChan e�of Use <br /> DESCRIPTION OF WORK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL ATTACHED DWELL INS <br /> FLOOR SPACE 1775 SQ.FT GARAGE 225 <br /> THIS IS THE GRACE FLOOR PLAN <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING.PERMIT APPLICATION`S <br /> Type of Project: X New _ Ad& _,_Alteration _ Repair Type of Project: X New �Addn _Alteration _Repair <br /> of List of Fixtures of List of Fixtures #of List of Fixtures if of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit,Heater 1 Bathtub Urinal, <br /> Gas Piping Boiler 4 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater .Refrigeration 1 Shower Floor Drain <br /> Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting 1 Dishwasher Roof Drains <br /> 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> 1 Range Hooder Other: <br /> 5 Exhaust Fan v Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> 'Number of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct Work done pursuant 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 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 •-fe Contractors Law 18.27 RCW and 296.200A WAC. <br /> 9 City of Everett Official Use Only <br /> PERMIT# // <br /> 1,14 'fry 6-20-16 l 0010 —03i3 ----. <br /> Owner/Authorized A! nt Signature Date (Revised 10/12/2015) <br />