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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION <br /> EVERETT 32CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257.8810 1 FAX 425-257-8857 1(E)everetteps@evereilwa.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#:00439148302600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long 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 98201 <br /> OWNER PHONE:206.595-9401 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:426-748.4468 CONTRACTOR EMAIL:SEAN@GALLAGHERCONSTRIICTIONLLC.COM <br /> CONTRACTOR LICENSE#(REQUIRED):GALLACL871 PB CITY OF EVERETT BUSINESS LICENSE#(REQUIR D): <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 Contract 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 EJAccessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Re air ❑T.i. ❑Sin ❑S rinkler ❑Demolition []Change of Use <br /> DESCRIPTION OF WORK: <br /> FINISH DAYLIGHT BASEMENT eI(,L�,�(K <br /> USE:PERSONAL RESIDENCE WI MIL UNIT BELOW <br /> ASSOCIATED BUILDING PERMIT# if applicable): Abu <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fix ture Fixture <br /> Count Llst of Fixtures Count List of Fixtures Count List of Fixtures List of Fixtures <br /> Count <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 '2--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 Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type ll) Water Heater Interceptor-Grease WastefWater 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 /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 locallow. 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.l am the owner,or/am authorized by the owner of this property to perform the work for Ivhtch application is made, <br /> and I comply with the State Contractors Law 16.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> � <br /> 11/17/2020 <br /> PERMIT# ll L Z,l 0_ _ <br /> Owner Authorized Agent S14Vure Date (Revised 1011012018) <br /> N 3; <br />