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PERMIT APPLICATIO <br /> /It, BUILDINt_-CHANICAL/PLUMBING/SIGNRINKLER/DEMOLITION <br /> CITY OF EVERE l l PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 ( FAX 425-257-8857 j(E)everetteps�?a everettwa,gov J www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:7 9 0 5 19TH DR SE PROPERTY TAX <br /> LEGAL for new construction: Short Plat/subdivisiionALPINE HEIGHTS Lot No. 64 (attach copy of long legal descs ription) <br /> CONTACT INFORMATION <br /> OWNER NAME:ALPINE HEIGHTS LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sii rs r 12 0 SW EVERETT MALL WAY SUITE 10 0 <br /> crry EVERETT silk-re 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 /> ciTv EVERETT STATE WA zip 98204 <br /> CONTRACTOR PHONE:360-953-2800 CONTRACTOR EMAIL:WWW.S EAPACHOME S.COM <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: STEVE SNYDER CONTACT PHONE: 42 5-3 1 9-0 1 2 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: El Gas 121Electric CJOther <br /> Building Type: ❑SFR Detached EISFR Attached ODupiex ElMulti-Family-#of Units: CJCammercial Olndustrial <br /> Type of Project: LINew' ClAddition °Remodel CIReeair 0T.1. ❑Sign °Sprinkler ClDemoiition °Change of Use <br /> DESCRIPTION OF WORK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENTIAL ATTACHED DWELLINGS <br /> FLOOR SPACE 2407 SQ.FT GARAGE 382 <br /> THIS IS THE HENLEY FLOOR PLAN <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL;PERMIT APPLICATION" PL.UMBINO,PERMIT APPLICATION' <br /> Type of Project: X:New — Arkin _Alteration .._Repair Type of Project: X New _ Addle, _Alteration _Repair <br /> of List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures f=ixtures Fixtures Fixtures <br /> NC–Air Handling Units Heat Pump 4 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> Gas Piping Boiler 6 Lavatory(Wash Basin) Drinking Fountain <br /> ( Water Heater Refrigeration 2 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 Hood Other: <br /> 7 Exhaust Fan Sink(Service/Bar/Mopletc.) Other: <br /> SPRINKLER 1-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.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 ti ate Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> t 'r'# 6-20-16 RERMIT# V 1(0®(" 0 1 <br /> Owner/Authorized A.-nt Signature Date (Revised 10/12/2015) (it <br />