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r <br /> III' PERMIT APPLICATION <br /> BUILDING/ M CHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> 447-7' . 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 /> 'PROJECT/SITE:INFORMATION. .:290529004003,290529001021,290529001011, <br /> PROJECT SITE ADDRESS: 3002 34th PI., Everett, WA PROPERTY TAX#: 290b29001014,UU5/60001000,00b(600020UU, <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No. 17 (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: [El 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 Ild Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ®Multi-Family-#of Units: 6 ❑Commercial ❑Industrial <br /> Type of project: 1,9New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION O WORK: Construct Unit G in Bldg 28.6, a Type/j - 6 unit building, as part of a 190 Unit Townhome <br /> Development <br /> \ 6-plex unit is 12,732 total SF, plan type G is 1,960 SF, 451 sf garage, and 138 sf porch/patio <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ' MECHANIdAL PERMIT APPLICATION ' PLUMBING-PERMIT.APPLICATION ' <br /> Type of Project: X New `, Addn _Alteration _Repair Type of Project: X New _Addn _Alteration _Repair <br /> #of t, \ #of #of #of <br /> Fixtures ,' List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> A/C—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> q Forced Air Systems .„,,W''' Unit Heater 1 Bathtub Urinal <br /> Y Gas Piping y Boiler 4 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Vater Heater "f Refrigeration 2 Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove 4/ Kitchen Sink&Disposal Grease Trap <br /> Gas Range . Ducting 1 r Dishwasher Roof Drains <br /> 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> -F&� Range Hood ' Water Heater Other: <br /> xhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> :S INKLER:/SUPPRESSION:SYSTEM <br /> INumberjof 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 Offi'ial 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 compl with the State Contractors Law 18.27 RC W and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> b_ /�a 06/03/16 C I (0 D(oi - 10 1 <br /> Owner/ thorized Agent Signature Date ]J' (Revised 10/12/2015) <br /> 1 <br /> s <br />