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• • <br />PERMIT APPLICATION <br />BUILDING / MECHANICAL 1 PLUMBING / SIGN I SPRINKLER 1 DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />OL 3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.novpermits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:603 100TH PL SE, EVERETT WA 98208 <br />PROPERTY TAX #: 00397300000200 <br />LEGAL for new construction, Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: RiCHARD D VANTASSEL TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: srrleer603 100TH PL SE, EVERETT WA 98208 <br />CITY STATE ZIP <br />OWNER PHONE:425.348.5423 <br />OWNER EMAIL: spiritofcourse@gmail.com <br />CONTRACTOR NAME,SMART ENERGY TODAY <br />CONTRACTOR ADDRESS; sTIEET2500 MOTTMAN ROAD SW, TUMWATER 98512 <br />CITY STATE ZIP <br />CONTRACTOR PHONE:360.637,4343 <br />1CONTRACTOR EMAIL: LEX.K@SMARTENERGYTODAY.NET <br />CONTRACTOR LICENSE #(REQUIRED); SMARTET869RJ <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED); 052463 <br />PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />LEX KING <br />CONTACT PHONE; 360.637,4343 <br />CONTACT EMAIL; LEX.K@SMARTENERGYTODAY.NET <br />BUILDING PERMIT APPLiCATI <br />i Use of Building: SFR <br />Contract Price of ork: $ 22500 <br />Proposed Use of Buiidin :SFR <br />Heat Source: ❑G'as--.—.L]EiectrfCY ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi -Family-# of Units: ❑Commercial ❑Industrial <br />T pe of Project: ❑New ❑Addition ❑Remodel ❑Re air ❑T.i, ❑Sign ❑S rinkler ❑Demolition ❑Chan e of Use <br />DESCRIPTION OF WORK: <br />4.96 KW ROOFTOP SOLAR <br />16 AXITEC AC-310MH/120S, 1 SOLAREDGE SE5000H-US INVERTER, INSTALLED WITH AUTOMATIC <br />RAPID SHUTDOWN, <br />ASSOCIATED BUILDING PERMIT # If applicable): <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _ Addn _Alteration _Repair <br />Type of Project: _New _Addn Alteration _Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — AT Handling Units <br />Heat Pump <br />Toilet <br />Backflow Preventer (Inside Bldg) <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Piping <br />Boller <br />Lavatory Wash Basin) <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />Shower <br />Floor Draln <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof Dralns <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other; <br />Exhaust Fan <br />Sink Service/Bar/Mo letc. <br />Other <br />SPRINKLER /;SUPPRESSION <br />SYSTEM <br />Chemical or Water <br />I <br />I 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, slate, 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 / 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 />��� <br />Owner/Authorized Agent <br />Lire <br />5/29/2020 <br />Date <br />City of Everett Official Use Only <br />PE ITS <br />(Revised 9/23/2016) <br />