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• • <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ITE ADDRESS: � 1030 EVERGREEN WAY, EVERETT WA 98204 PROPERTY TAX # 2g042300400800 P RMIr <br />3 L-(�I ( <br />EGAL for new construction: Short PlaUsubdivision 1.�- ���� �' Lot No. (attach copy of long Iegai description) <br />PAULSTEPHANUS <br />� 206.329.9030 <br />Phone/E-mail <br />ress 1140 PARKSIDE DR. E. ICity/State/Zip SEATTLE, WA 98112 <br />�LICANT: _ Owner %� Owner's Agent _ Contractor _ Contractor�S Ag2flt _ T@fl8flt (musl provide a letter of consent from the owner to do work in ihe space) <br />CONTRACTOR L& I Lic. # COE Bus. Lic. # <br />Address Phone/Email <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />CAMELOT APARTMENTS - RECREATION BUILDING 206.763.8496-101 / MARK@MARKTRAVERSARCHITECT.COM <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $95,000 <br />Existing Use of Building RECREATION <br />Proposed Use of Building RECREATION <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition _ Remodel X Repair _ T.I. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (additional space provided on the back): <br />REMEDIATION OF EXTERIOR AND NATATORIUM. <br />MECHANICAL PERMIT APPLICATION <br />of Project: �New_Addn _Alteration _Repair <br />Show Number (#J of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas pipin <br />Water heater <br />Gas fireplace <br />Gas ran e <br />Clothes dryer <br />� Range hood <br />1 Exhaustfan <br />i Heat pump <br />� Unit heater <br />Boiler <br />Refri eration <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEN <br />� Number of Heads <br />HEAT SOURCE: <br />X Electric <br />olition Change of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />; Toilet <br />h basin <br />Kitchen sink & di <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bai <br />Backflow preven <br />Urinal <br />Drinking Fountai <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />al <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied <br />with whe her specified he in or not. The granting of a permil does not presume lo give authority to violate or cancel the provision of any other state or local law regulating construction <br />hat I am thorized by h owner of this prope to perform the work for which application is made and I comply with the Slate Conlractors Law 18.27 RCW and 296.200A WAC. <br />,� <br />�-4 <br />Owner/ thorized Agent Signature Date (Revised 6/2012) <br />��2 <br />