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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 />SITE ADDRESS: 11030 EVERGREEN WAY, EVERETT WA 98204 PROPERTY TAX # 00442900300305 P� MIT,# ` <br />t`� � � 1 �— —(J � � <br />3AL for new construction: Short PlaUsubdivision �) U��� <br />INER PAULSTEPHANUS <br />Iress 1140 PARKSIDE DR. E. <br />PLICANT: Owner X Owner's Agent _ Contractor <br />ress <br />CAMELOT APARTMENTS - BUILDING'E' <br />BUILDING PERMIT APPLICATION <br />No. (attach copy of long legal description) <br />Phone/E-mail 206.329.9030 <br />ICity/State/Zip SEATTLE, WA 98112 <br />Contractor�S AgBflt _ T2f18f1t (must provide a letter of consent from the owner lo do work in the space) <br />&ILic.# <br />COE Bus. Lic. # <br />IPhone/Email <br />�ACT FOR PERMIT <br />206.763.8496-101 / MARK@MARKTRAVERSARCHITECT.COM <br />IE-mail <br />TRACT PRICE OF WORK $250,000 <br />Existing Use of Building APARTMENTS HEAT SOURCE: <br />Proposed Use of Building APARTMENTS Gas X Eiectric_ Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New _ Addition _ Remodel X Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): <br />REMEDIATION OF EXTERIOR AND BELOW-GRADE OF EXISTING APARTMENT BUILDING. <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 piping <br />Water heater <br />Gas fireplace <br />Gas range <br />C�othes dryer <br />SPRIN <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Ducting <br />Other <br />/ SUPPRESSION SYST <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />� Toilet <br />Bathtub <br />� Lavatory (wash basin) <br />Shower <br />—� Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certrfy lhat I have read and examined Ihis application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied <br />with whether specified here or noL The granting of a permit does not presume lo give authority to violate or cancel the provision of any other slate or local law regulating conslruction <br />at I am au orized by tt perty to perTorm lhe work for which application is made and I comply with the State Contractors �aw 1827 RCW and 296.200A WAC. <br />�l-�•t <br />Owner/Au orized Agent Signature Date (Revised 6/2012) <br />\, (� <br />r <br />