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PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING /SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> E V E R E V 11 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 TFAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2216 GRAND AVE I PROPERTY TAX#:00439148302500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of iong legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:JOSEPH STEPHANSON TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 2216 GRAND AVE <br /> CITY EVERETT STATE WA ZIP 08201 <br /> OWNER PHONE:206.596-9401 OWNER EMAIL: DIGITS@UW.EDU <br /> CONTRACTOR NAME:GALLAGHER CONSTRUCTION LLC <br /> CONTRACTOR ADDRESS: STREET 12835 BEL-RED RD SUITE 320 <br /> CITY BELLEVUE STATE WA ZIP 98005 <br /> CONTRACTOR PHONE:425.748.4468 CONTRACTOR EMAIL:SEAN@GALLAGHERCONSTRUCTIONLLC.COM <br /> CONTRACTOR LICENSE#(REQUIRED):GALLACL871 PB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)- <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.761-8627 <br /> STEPHANIE LOFQUIST CONTACT EMAIL:STEPHANIE@GALLAGHERCONSTRUCTIONLLC.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building: SFR 1Contract Price of Work:_$60,000 <br /> Proposed Use of Building: Heat Source: []Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Du lex ❑ADU ❑Multi-Family-#Units: ❑Commercial LIAccessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Sin ❑S rinkier ❑Demolition ❑Chan a of Use <br /> DESCRIPTION OF WORK: �,,�/ <br /> FINISH DAYLIGHT BASEMENT �G�(G{,{�(� 7(/ 1' <br /> USE: PERSONAL RESIDENCE WI MIL UNIT BELOW <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Future Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(inside Bldg) 1 Shower,Tub,or Combo <br /> Boiler Gas Range 2 Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless 1 Dishwasher 1 Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> 3 Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 1 Toilet <br /> Exhaust Hood(Type 1) (Not HeaYAC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> 1 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 I Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> ater Suppression System I IND.of Heads <br /> Chemical Suppression System I I 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 end no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I at?)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 /> PERMLT# ! <br /> ,L�,l�u t 11/17/2020 � U) 2/�D r"'M(o <br /> Owner uthorized Agent SliyWure Date (Revised 1011012018) <br />