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} <br /> PERMIT APPLICATIc I <br /> BUILD11IIII�L I MECHANICAL/PLUMBING /SIGN/t RINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMAFION-29o5296-0 -64:60102t<290529001011 <br /> PROJECT SITE ADDRESS: 3317 31St Dr, Everett, WA PROPERTY TAX#: 290529001014,O0b/60001000,b05/60002000, <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No.1461 (attach copy of long legal description) <br /> CONTACT~INFORMATIOI <br /> OWNER NAME: Polygon WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th Street, Suite 100 <br /> Bellevue CITY WA STATE 98005 ZIP <br /> OWNER PHONE: 425.586.7700 OWNER EMAIL: alan.pani@polygonhomes.com <br /> CONTRACTOR NAME: Same as Owner <br /> CONTRACTOR ADDRESS: STREET Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.586.7700 CONTRACTOR Emm..:alan.pani@polygonhomes.com <br /> CONTRACTOR LICENSE#(REQUIRED): polygwl863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 <br /> PRIMARY CONTACT: III OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani CONTACT EMAIL: alan.pani@polygonhomes.com <br /> BUILDING PERMIT:APPLICATION <br /> Existing Use of Building: N/a Contract Price of Work:$ 87,225.00 <br /> Proposed Use of Building: Multi-Family Townhomes Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ®Multi-Family#of Units: 6 ❑Commercial ❑Industrial <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct Unit E in Bldg 3.3, a Type F-6 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 6-plex unit is 12,732 total SF, plan type E is 1,163 SF, 508 sf garage, and 64 deck/patio <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAE 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 ..6 Unit Heater 1 Bathtub Urinal <br /> Gas Piping Boiler 3 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater .�1 Refrigeration 2 Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove —2-(itchen Sink&Disposal Grease Trap <br /> Gas Range Ducting 1 Dishwasher Roof Drains <br /> 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> Range Hood i1—' Water Heater Other: <br /> sb' Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> ;SPRINKLER 1,SUPPRESSSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:1 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.lam 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# n � <br /> alae, h P 04.06.16 C OO L1- O 2Z <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> fl <br /> 2 <br /> 1 <br />