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3004 35TH ST 2019-04-30
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3004 35TH ST 2019-04-30
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4/30/2019 1:46:18 PM
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4/30/2019 1:46:15 PM
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Address Document
Street Name
35TH ST
Street Number
3004
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PERMIT APPLICATFI I <br /> BUILD1N /MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> - <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 l FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> i �9 ( i'fm. °$" i i \\\\2i0. y A# 1' <br /> PROJECT SITE ADDRESS: 3004 35th St, PROPERTY TAX#: 2 152§bo o1 , • io'I too,ou5M 00, <br /> 120 <br /> Everett, WA 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No.'3"%71(attach copy of long legal description) <br /> ,,,,,., \. 1 1"'�i� <br /> OWNER NAME: Polygon WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th Street, Suite 100 <br /> Bellevue CITY WA STATE 98005 ZIP <br /> OWNER PHONE: 425.586 7700 owNER EMAIL: alan.pani@polygonhomes.com <br /> CONTRACTOR NAME: Same as Owner <br /> CONTRACTOR ADDRESS: STREET Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.586.7700 CONTRACTOR EMAIL:alan.pani@pOlygOnhomeS.com <br /> CONTRACTOR LICENSE#(REQUIRED): polygwl863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 <br /> PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani CONTACT EMAIL: alan.pani@polygonhomes.com <br /> Existing Use of Building: N/a Contract Price of Work:$ 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: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct Unit F in Bldg 33.1, 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 F is 1,381 SF, 562 sf garage, and 66 deck/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 Handling Units —Heat Pump 3 Toilet —Backflow Preventer(Inside Bid. <br /> Forced Air S stems Unit Heater 1 Bathtub —Urinal <br /> 111111.Gas Pipin• _ Boiler 4 Lavato (Wash Basin) —Drinkin• Fountain <br /> MIME Water Heater Ma'Refri•eration m''Shower —Floor Drain <br /> 1 Gas Fire.lace —Wood Stove I Kitchen Sink&Disposal —Grease Tra. <br /> Gas Ran.e —Ductin. 1 Dishwasher —Roof Drains <br /> 1 Clothes D er Hooku•s —Other: 1 Clothes Washer —Medical Gas <br /> MIM/Ran•e Hood --Mil.Water Heater —Other: <br /> Im'Exhaust Fan Sink Service/Bar/Mo./etc. —Other: <br /> —I <br /> ,...,. "'Pf• as - " "m¢:2 .. <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 /> 01.041.. _ Pani, 06/03/167067.4 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) \ 1 <br />
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