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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 /> SITE ADDRESS: PROPERTY TAX# P�,RMIT 1 <br /> 414 Rockefeller Ave, Everett, WA 98201 J i1ti a LI L' <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Ruslan Nesterenko Phone/E-mail (425)248-0501 rusalik@hotmail.com <br /> Address 3418 Snohomish Ave. City/State/Zip Everett,WA 98201 <br /> APPLICANT:_Owner _Owner's Agent X Contractor Contractor's Agent _Tenant;,must provide a letter of consent from the ovwier to do work In the space) <br /> CONTRACTOR A&R SOLAR CORP. State Lic.# 602-707-872 City Bus.Lic.#053961 <br /> Address 2444 1st Ave S. Seattle, WA 98134 Phone/Email 206-707-9937 info@a-rsolar.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Jesse Anderson <br /> Phone/E-mail 206-317-4656 jesse@a-rsolar.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 17475.00 <br /> Existing Use of Building Residential HEAT SOURCE: <br /> Proposed Use of Building no change to building use Gas Electric X Other <br /> Building type: X Single Family _Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: New X Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Installing a 8.960 kW Photovoltaic System on the roof. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn Alteration_Repair Type of Project: _New_Addn _Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> 1 Number of Heads Other: <br /> 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 comp <br /> with whether specified herein or noL The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 10/27/2015 <br /> Owner/Authorized Agent Signature Date `(Revised 9/2014) <br />