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PERMIT APPLICATION <br /> BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2720 Hoyt Avenue, Everett, WA 98201 PROPERTY TAX#:00439162300700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Library Residences, LLC TENANT BUSINESS NAME(Commercial): Skotdal R/E <br /> OWNER MAILING ADDRESS: STREET P.O. Box 5267 <br /> cr-y Everett STATE WA ZIP 98206 <br /> OWNER PHONE: 425-252-5400 OWNER EMAIL:craig@skotdal.com <br /> CONTRACTOR NAME:Gaffney Construction <br /> CONTRACTOR ADDRESS: STREET8105 Broadway <br /> CITY Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE:425.355.5500 CONTRACTOR EMAIL:jOe@gaffneyConStrUCtion.corn <br /> CONTRACTOR LICENSE#(REQUIRED):GAFFNCI 1 04K3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 12160 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.355.5500 <br /> Joe Gaffney CONTACT EMAIL:joe@gaffneyconstruction.corn BUILDING INFORMATION <br /> Existing Use of Building:Apartmer1tS Contract Price of Work:$55,432 <br /> Proposed Use of Building:Apartfllents Heat Source: ❑Gas OElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> To replace sheet rock that was removed from water damage from a sprinkler head that went off due to a small stove fire. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERM]APPLICATION< 'PLUMBING:;PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-cornp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) _(Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) _Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRI,NK .ER'I SUPPRESSION SYST*, Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.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 properly 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 /> PERMI�7� _1W <br /> M D � <br /> Owner/Authorized Agent Signature Date (Revised l 1N 00/11 100//2 01188)) <br /> Z <br />