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0.141PPERMIT APPLICATIO <br /> BUILDING I MECHANICAL I PLUMBING /SIGN /SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> vit <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa goy www_everettwagoyipermits <br /> (Sitio or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 5812 10th Dr W Everett, WA 98203 PROPERTY TAX#: 00836700007800 <br /> LEGAL for new construction Short Plat/subdivision Lot No. (attach copy of long egal description) <br /> CONTACT INFoRMATISON • . . • • '''•:•• <br /> OWNER NAME: Gwyneth Ginther TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5812 10th Dr W <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-344-9909 OWNER EMAIL: gwynethdintheradmail.com <br /> CONTRACTOR NAME: Smart Energy Today <br /> CONTRACTOR ADDRESS: STREET 2500 Mottman Rd SW <br /> ary Olympia STATE WA , 98203 <br /> CONTRACTOR PHONE: 360-637-4343 CONTRACTOR EMAIL: jenni.b@smartenergytoday.net <br /> CONTRACTOR LICENSE#(REQUIRED): SMARTET869RJ CITY Of EVERETT BUSINESS LICENSE#(REQUIRED): 052463 <br /> PRIMARY CONTACT: 0 OWNER cit CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-637-4343 <br /> Jenni Blankenship CONTACT EMAIL: jenni.bAsmartenergytoday.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: home- single family residence Contract Price of Work:$ 3500 <br /> Proposed Use of Building: Heat Source: 0Gas 0Electric 00ther <br /> Building Type: I:SFR-Detached EISFR-Attached I:Duplex 0Multi-Family-#of Units: 0Commerciat Olndustrial <br /> Type of Project: ONew 0Addition I:Remodel o Repair CIT.!. 0Sign 0Sprinkler 0Demolition 1:IChange of Use <br /> DESCRIPTION OF WORK: <br /> rooftop PV solar array <br /> 14 Axitec AC-310MH <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 #of #of #of <br /> List of Fix List of Fixtures List of Fixtures 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 SUPPRESSIONSYSTEM <br /> Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT I have reviewed this application and confirm the infom7ahon 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 arid 296 200A WAC <br /> City of Everett Official Use Only <br /> PERMIT <br /> 10/23/2019 t \ b 6 I <br /> 11, 5icaf/e4.frt+, <br /> /Authorized Agent Signature Date (Revised 91231201 <br />