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8916 EMERSON PL 2021-11-02
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8916 EMERSON PL 2021-11-02
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11/2/2021 10:41:23 AM
Creation date
11/2/2021 10:40:03 AM
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Address Document
Street Name
EMERSON PL
Street Number
8916
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OrETT PERMIT APPLICATIOft <br /> BUILDING ECHANICAL/ PLUMBING /SIGN MPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:8916 EMERSON PL EVERETT, WA 98208-1948 PROPERTY TAX#:00482500002100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Tommy Pham TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET8916 EMERSON PL EVERETT, WA 98208-1948 <br /> CITY STATE ZIP <br /> OWNER PHONE:(206) 432-2449 OWNER EMAIL:tommypham78@gmail.com <br /> CONTRACTOR NAME:Smart Energy Today <br /> CONTRACTOR ADDRESS: STREET 1001 Cooper Point Rd SW Suite 140#290 Olympia WA 98502 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:360-637-4343x2226 CONTRACTOR EMAIL:Victoria.B@smartenergytoday.net <br /> CONTRACTOR LICENSE#(REQUIRED):SMARTET869RJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52463 <br /> PRIMARY CONTACT: ❑OWNER lffi CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-637-4343x2226 <br /> Victoria Blunt on behalf of Smart Energy Today CONTACT EMAIL:Victoria.B@smartenergytoday.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:Residential - Unchanged Contract Price of Work: $3500 <br /> Proposed Use of Building:Residential - Unchanged Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Rooftop photovoltaic solar installation <br /> 5.58kWDC// 18gty Axitec AC310MH/120S// l qty SolarEdge SE5000H-US <br /> ASSOCIATED BUILDING PERMIT#(if applicable): E2006-141 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—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 I SUPPRESSION SYSTEM <br /> Chemical or Water ' 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 /> PE # <br /> ¢ 2'G� 6/23/2020 CCS <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) ‘ is <br />
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