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IT APPLICATI <br /> BUILDING / MECHANICALE/ PLUMBING //SIGN/SPRINKLER/ DEMOLITION <br /> _ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 j(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> oJl <br /> ,�.... <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: � u0i bIt uoo U (bud <br /> 3002 35th St, Everett, WA 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No.36 (attach copy of long legal description) <br /> eta ,.mow.,'., 3,drxn? ..,., -.�eats s N , ° ` -~� r !- � � <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@pclygonhomes.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 /> ref <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 ®Multi-Family-#of Units: 4 ❑Commercial ❑Industrial <br /> Type of Project: DINew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct Unit G in Bldg 33.4, a Type D-4 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 4-plex unit is 6,682 total SF, plan type G is 1,960 SF, 451 sf garage, and 63 sf porch/patio <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 Handlin. Units Heat Pump 3 Toilet —Backflow Preventer Inside Bid• <br /> Forced Air S stems J Unit Heater 1 Bathtub —Urinal <br /> M'Gas Pipin. —Boiler 4 Lavato Wash Basin —Drinkin• Fountain <br /> MEI Water Heater ��Refri•eration mrimi Shower —Floor Drain <br /> 1 Gas Fireplace —Wood Stove �L./J,Kitchen Sink&Dis•osal —Grease Trap <br /> Gas Ran.e —Ductin• 1 Dishwasher Roof Drains <br /> 1 Clothes D er Hooku•s —Other: 1 Clothes Washer —Medical Gas <br /> Ranee Hood `A-Water Heater —Other: <br /> Exhaust Fan —Sink Service/Bar/Mo./etc. —Other: <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 lam 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 /> (liar!,r!, b_ Patti- 06/03/16 G l o o(v-^ I l g <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) ) <br />