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111111PPERMIT APPLICATIO <br /> BUILDINECHANICAL/PLUMBING /SIGNINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE_:INFORMATION 290529004003 290529001021.290529001011. <br /> PROJECT SITE ADDRESS: 3330 31st Dr, Everett, WA PROPERTY TAX#: 290529001014,005760001000,005760002000, <br /> r 004390805017,004390805025.009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No.96 (attach copy of long legal description) <br /> tt <br /> CONTACT INFORMATION' <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 EMAIL:alan.pani@polygonhomes.com <br /> CONTRACTOR LICENSE#(REQUIRED): polygwl863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 <br /> PRIMARY CONTACT: Cgl 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:$ <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: IN New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct Unit 1D in Bldg 6.5, a Type B - 6 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 6-plex unit is 11,005 total SF, plan type El D is 1,344 SF, 322 sf garage, and 95 sf porch/patio <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMITAPPLICATION 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 1 Bathtub Urinal <br /> Gas Piping ,/ Boiler 3 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater /r Refrigeration 2 Shower Floor Drain <br /> 1 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 /> I Range Hood 1- ' ,Water Heater Other: <br /> 5 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM- <br /> 'Number <br /> YSTEM 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.lam the owner,or I 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 /> h- PQM/ PERMIT# <br /> O� „ + �1, c <br /> �e „` 04.06.16 �OV`I 012— <br /> > <br /> Owner/Authorized <br /> 72— <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) r"'°ti <br /> I <br />