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• PERMIT APPLICATIO. <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 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:7611 EASY ST, EVERETT, WA 98203 PROPERTY TAX#:003-927-000-002-00 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: RITA BLANKENSHIP TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET 7611 EASY ST <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:206.402.1919 OWNER EMAIL:kiShme7@gmail.com <br /> CONTRACTOR NAME:SMART ENERGY TODAY <br /> CONTRACTOR ADDRESS: STREET2500 MOTTMAN ROAD SW <br /> ciTy TUMWATER STATE WA ZIP 98203 <br /> CONTRACTOR PHONE:360.637.4343 CONTRACTOR EMAIL: LEX.K@SMARTENERGYTODAY.NET <br /> CONTRACTOR LICENSE#(REQUIRED):SMARTET869RJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):052463 <br /> PRIMARY CONTACT: ❑ OWNER E CONTRACTOR ❑OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360.637.4343 <br /> LEX KING CONTACT EMAIL:LEX.K@SMARTENERGYTODAY.NET <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:SFR Contract Price of Work: $16000 <br /> Proposed Use of Building:SFR Heat Source: ❑Gas Fj(lElectric DOther <br /> Building Type: ❑SFR-Detached ®SFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial ❑Industrial <br /> Type of Project: ❑New MAddition DRemodel ❑Repair ❑T.l. ❑Sign ESprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> 3.72 KW ROOFTOP SOLAR <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 /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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/ 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 /> PERMIT t� <br /> 2/25/2020 l/VO Z t <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br /> ) <br /> Z- <br />