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ra ra PERMIT APPLICATIOI+ <br /> BUILDING /MECHANICAL/PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue;orBlack Ilnl Only;Pl(ease) , PROJECT SIIT NFORMATI.ON <br /> PROJECT SITE ADDRESS:700 35th St PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ': CONT'ACT)NFORMATION <br /> OWNER NAME: Jonathan Witte TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET700 35th St <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-308-3605 OWNER EMAIL:ivywood@gmail.com <br /> CONTRACTOR NAME:sunergy systems inc <br /> CONTRACTOR ADDRESS: STREET4546 leery way nw <br /> CITY seattle STATE wa ZIP 98107 <br /> CONTRACTOR PHONE:206-571-4726 CONTRACTOR EMAIL:jonl@sunergysystems.com <br /> CONTRACTOR LICENSE#(REQUIRED):64114er-s+965d �Ul?�1 . ` E RET USINESS LICENSE#(REQUIRED) 51574 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-302-9464 <br /> Mike Pogorzelski CONTACT EMAIL:mikep@sunergysystems.com <br /> Existing Use of Building:Residential Contract Price of Work:$10,660.83 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: I]SFR ['Townhouse ❑Duplex EADU EMulti-Family-#Units: ❑Commercial ['Accessory Structure <br /> Type of Project: ❑New ['Addition ❑✓Remodel ['Repair ❑T.I. ❑Sign LiSprinkler ❑Demolition ['Change of Use <br /> DESCRIPTION OF WORK: install 37 rooftop AC solar modules. Rapid shutdown compliant upon loss of AC power. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> M CHANICA ,PERMIT AP,PLICATION" PLUMB)iNG`;P 1 MIT A !I'1ICATION, <br /> Fixture 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) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> 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 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 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 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 /> A6, npv. io//Sl9 P � <br /> T l0oZ� <br /> Owner/Authorized Agent Signature ate (Revise 0/10/2018) <br /> /r? <br />