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PERMIT APPLICATION <br /> #1111P444- BUILDING /MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (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: 7800 Evergreen Way Everett, WA 98203 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Lee Johnson of Everett TENANT NAME(If Commercial): Lee Johnson Hyundai of Everett <br /> OWNER MAILING ADDRESS: STREET 7800 Evergreen Way <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-422-3784 OWNER EMAIL: justin@hyundaiofeverett.Com <br /> CONTRACTOR NAME: SolTerra Global LLC <br /> CONTRACTOR ADDRESS: STREET 2910 1st AVE S Suite 201 <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE: 206-462-1103 CONTRACTOR EMAIL: solaradmin@solterra.com <br /> CONTRACTOR LICENSE#(REQUIRED): SOLTEGL831 BZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57821 <br /> PRIMARY CONTACT: 0 OWNER IV CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-773-6838 <br /> Neil Gowler CONTACT EMAIL: solaradmin@solterra.COm <br /> BUILDING PERMIT APPLICATION <br /> U� <br /> Existing Use of Building:Commerical Contract Price of Work:A_ I L I IiZ�, <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: 17Commercial ❑Industrial <br /> Type of Project: ❑New DAddition l7Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Installation of PV System on the roof. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT*l 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 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 /> PERMIT <br /> < <br /> < /2 Zoff (61:2---0I <br /> Owner/Auth• ized Ag.nt Signat " Date (Revised 9/23/2016) <br />