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3402 30TH DR 2018-07-26
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3402 30TH DR 2018-07-26
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7/26/2018 2:39:14 PM
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7/26/2018 2:39:12 PM
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Address Document
Street Name
30TH DR
Street Number
3402
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( 1 <br /> PERMIT APPLICATION <br /> BUILDING /MECHANICAL/ PLUMBING/SIGN/SPRINKLER/ DEMOLITION <br /> 4477r 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 /> 290529004003.-290529001021: , <br /> PROJECT�ITE INFORMATION <br /> 29059001011: '•. <br /> PROJECT SITE ADDRESS: 3402 30th Dr, Everett, WA PROPERTY TAX#: 290529001014,005760001000,005760002000, <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION'S <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: RI 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:$ 147,000.00 <br /> Proposed Use of Building: Multi-Family Townhomes Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex IglMulti-Family-#of Units: 5 ❑Commercial ❑Industrial <br /> Type of Project: ®New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct Unit G in Bldg 23.5, a Type E- 5 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 5-plex unit is 10,995 total SF, plan type G is 1,960 SF, 451 sf garage, 63 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 #of List of Fixtures 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 /> I Gas Piping Boiler 4 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater Refrigeration 2 Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove f 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 /> _ Range Hood Water Heater Other: <br /> i f Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> -,:„SPRINKLER/-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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 511010 CA10O./ SOS <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> 47- <br />
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