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3429 30TH DR 2019-01-08
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3429 30TH DR 2019-01-08
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1/8/2019 3:53:55 PM
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1/8/2019 3:53:51 PM
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Street Name
30TH DR
Street Number
3429
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• <br /> 4477- PERMIT APPLICATION <br /> BUILDING /MECHANICAL/ PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> , d <br /> r ; <br /> PRO„ ECT SITE INFORMATION 290529004003,290529001021,290529001011., <br /> PROJECT SITE ADDRESS: 3429 30th Dr,, Everett, WA PROPERTY TAX#: 290529001014,005760001000,005760002000, <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No.01 (attach copy of long legal description) <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: ®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'PEiRMIT.APPLICATION <br /> Existing Use of Building: N/a Contract Price of Work:$ <br /> Proposed Use of Building: Multi-Family Townhomes Heat Source: DGas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex IZIMulti-Family-#of Units:7 ❑Commercial ❑Industrial <br /> Type of Project: 19 New ❑Addition ❑Remodel ❑Repair ❑T.I. El Sign ❑Sprinkler El Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct Unit 1B in Bldg 26.4, a Type C - 7 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 7-plex unit is 12,696 total SF, plan type E1 B is 1,344 SF, 322 sf garage, and 49 sf porch/patio <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL.PERMIT APPLICATION ;`;;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 #°f 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 3 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater , Refrigeration 2 Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove ,/2" 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 /> 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.t 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 /> ata,n, _ Pau, 05/25/16 Cil(00(a-0 7 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> pF <br />
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