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3426 30TH AVE 2019-03-15
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3426 30TH AVE 2019-03-15
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3/15/2019 10:12:41 AM
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3/15/2019 10:12:38 AM
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Address Document
Street Name
30TH AVE
Street Number
3426
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t <br /> II'' PERMIT APPLICAT�I I <br /> BUIL II /MECHANICAL/PLUMBING /SIG rSPRINKLER/DEMOLITION <br /> 4,77, <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 l www.everettwa.gov/permits <br /> ... ..:t f,,... PROJECT SITE INFORMATION' 290529004003 2905261301021;29052900411 <br /> PROJECT SITE ADDRESS: 3426 30th Ave, Everett, WA PROPERTY TAX#: 29Ub29001014,OObfti0001000,O0b/80002000, <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No.3° (attach copy of long legal description) <br /> '.:1-:.- -1' <br /> ' - "CONTACT INFORMATION ; i 1: <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: IN 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 /> _"" z. -,„-,--,7y, 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 ElElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ®Multi-Family-#of Units: 7 ❑Commercial El Industrial <br /> Type of Project: ®New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct Unit F in Bldg 32.6, a Type, 7 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 7-plex unit is 14,447 total SF, plan type F is 2,009 SF, 562 sf garage, 66 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 List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems _,$" Unit Heater 1 Bathtub Urinal • <br /> ' Gas Piping Boiler 4 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater X Refrigeration 2 Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove ...2" ( 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 ' Water Heater Other: <br /> ,frbt 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 /> Clic n T . Pani. 06/03/16 1&-O&`"f(, <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> ‘E ''—,; :. S C . _ _ (7T <br />
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