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1306 10TH ST 2022-07-13
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1306 10TH ST 2022-07-13
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Last modified
7/13/2022 2:09:03 PM
Creation date
7/13/2022 2:08:04 PM
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Address Document
Street Name
10TH ST
Street Number
1306
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PERMIT APPLICATIO <br /> BUILDING ECHANICAL / PLUMBING / SIGN RINKLER / DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1306 10th Street Everett Washington 98201 PROPERTY TAX#:00385421401500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Linda Adams TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET1306 10th Street <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE: (425) 750-7187 OWNER EMAIL:adams.ls©COmCaSt.net <br /> CONTRACTOR NAME:SOIgen Power, LLC <br /> CONTRACTOR ADDRESS: STREET1992 Saint St <br /> cm' Richland STATE WA ZIP 99354 <br /> CONTRACTOR PHONE:(509) 408-1 165 CONTRACTOR EMAIL:mariela.gOnZaleZ@SOlgenpoWer.COm <br /> CONTRACTOR LICENSE#(REQUIRED):SOLGEPL83ORJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62231 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(509) 408-1165 <br /> Mariela Gonzalez CONTACT EMAIL:mariela.gonzalez@solgenpower.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Residential Contract Price of Work:$3,526 <br /> Proposed Use of Building:PV Solar Install Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: PV Solar Roof Mount Install <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER / SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 /> P IT# <br /> 09/25/2020 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />
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