211 BARBARA LN 2022-04-04 - Laserfiche WebLink

• PERMIT APPLICATION. BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 211 Barbara lane Everett Washington 98203 PROPERTY TAX#: 00598800000502 LEGAL for new construction: Short Plat/subdivision SP#C0E1202-021-02 Lot No. 2 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Georgia Hallett TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 211 Barbara Ln cinY Everett STATE WA ZIP 98203 OWNER PHONE: (253) 318-4213 OWNER EMAIL: hallett73@live.com CONTRACTOR NAME: Solgen Power, LLC CONTRACTOR ADDRESS: STREET 1992 Saint St cm{ Richland STATE WA ZIP 99354 CONTRACTOR PHONE: (509) 408-1165 CONTRACTOR EMAIL: mariela.gonzalez@solgenpower.Com CONTRACTOR LICENSE#(REQUIRED): SOLGEPL830RJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62231 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (509)408-1165 Mariela Gonzalez CONTACT EMAIL: mariela.gonzalez@solgenpower.Com BUILDING INFORMATION e� Existing Use of Building: Residential Contract Price of Work: $ (QO0. /� Proposed Use of Building. Solar Install Heat Source: ❑Gas ®Electric ❑Other BUILDING USE: IX—ISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: PV Solar Roof Mount Install ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior _ Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 11/11/2020 PERMIT 00/f(�. Owner/Authorized Agent Signature Date (Revised 10/10/2018)