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<br />PERMIT APPLICATION
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<br />EVERETT
<br />WASH1 NGTON
<br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION
<br />CITY OF EVERETT PERMIT SERVICES
<br />3200 CEDAR STREET, EVERETT, WA 98201
<br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everettensiibeverettwa.00v I vwvw Pverettwn nnv/nPrmits
<br />{Blunt or Black Ink Onty Please} PROJECT SITE INFORMATION
<br />PROJECT SITE ADDRESS: 5002 Narbeck Ave Everett, WA 98203
<br />PROPERTY TAX #:
<br />LEGAL for new construction: Short Platlsubdivision Lot No. (attach copy of long legal description)
<br />CONTACT INFORMATION
<br />OWNER NAME: DAVIS, MITCH I E:NANI BUSINESS NAME ({ <:,,r
<br />OWNER MAILING ADDRESS. STREET5002 Narbeck Ave Everett, WA 98203
<br />CITY Everett, WA 98203 STATE WA ZIP 98203
<br />OWNER PHONE: 425-330-5906
<br />OWNER EMAIL:
<br />CONTRACTOR NAME: PROSTAT ELECTRIC
<br />CONTRACTOR ADDRESS' STREET 1721 NE 64TH AVE
<br />CITY VANCOUVER STATE WA ZIP 98661
<br />CONTRACTOR PHONE.503-539-7772
<br />CONTRACTOR .MAIL: dale.krueger@comcast.net
<br />CONTRACTOR I_.ICENSE #(REQUIRED): PROSTE`8900N
<br />GI IY OF EVERETT BUSINESS LICENSE :-(REQUIPFO): 62810
<br />PRIMARY CONTAC I : 0 OWNER CI CONTRACTOR ©OTHER (Please Specify)
<br />CONTACT !NAME:
<br />DALE KRUEGER
<br />CONTACT PHONE: 503-539-7772
<br />CONTACT EMAIL: dale.krueger@comcast,net
<br />BUILDING_ INFORMATION
<br />Existing Use of Building:
<br />C o r,t> � �< P[ z W. : `3 2,000.00
<br />Prn osed Use of Building:
<br />Heat Source: []Gas 13Electric 00ther
<br />BUILDING USE: OSFR ❑Townhouse ❑Duplex EIADU ❑Multi -Family - # Units: ❑Commercial ElAccessory Structure
<br />Type of Project: ❑New CAddition ❑Remodel ❑Repair 11T.I. []Sign []Sprinkler ❑Demolition ElChan e of Use
<br />DESCRIPTION OF WORK: SOLAR PV INSTALLATION. 726kW
<br />ASSOCIATEC BUILDING PERMIT # if applicable):
<br />MECHANICAL
<br />PERMIT
<br />APPLICATION
<br />PLUMBING PERMIT
<br />APPLICATION
<br />%rN.:4rfJ><w<.,«
<br />A/C — Air Handling Units
<br />Gas Piping
<br />Backflow Preventer (Inside Bldg)
<br />Shower, Tub, or Combo
<br />Boiler
<br />Gas Range
<br />Clothes Washer
<br />Sink -Commercial (3-com ,pre ,floor)
<br />Clothes Dryer
<br />Heat Pump&Ductless
<br />Dishwasher
<br />Sink -Residential (kitchen,bath,bar)
<br />Duct System (Remodel)
<br />Refrigeration
<br />Drinking Fountain
<br />Sink -Utility, laundry, mop
<br />Exhaust Fans (Residential)
<br />Commercial Ventilatior
<br />(Not Heat/AC system)
<br />Floor Drain
<br />Toilet
<br />Exhaust Hood (Type 1)
<br />Hose Bibb
<br />Urinal
<br />Exhaust Hood (Type 11)
<br />Water Heater
<br />Interceptor -Grease
<br />Waste/Water Piping Repair
<br />Exhaust Hood (Residential)
<br />Wood Stove
<br />Interceptor-Sand/Oil
<br />Water Service (behind meter)
<br />Forced Air Systems
<br />Other:
<br />Medical Gas
<br />Water Valves or Fixtures
<br />Gas Fireplace/Insert/Log
<br />Roof Drains
<br />Water Heater
<br />SPRINKLER / SUPPRESSION
<br />SYSTEM
<br />Sewage Ejector or Sump Pump
<br />Other
<br />Water Suppression System
<br />I No. of Heads
<br />Chemical Suppression System
<br />INo. of Heads
<br />AOKNOO,'LEDGEil4ENIT i : 1.11.11,
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