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Mil <br /> IIZI <br /> 0 PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING /SIGN /SPRINKLER / 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2315 Virginia Ave Everett, WA 98201 PROPERTY TAX#: 00010 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Bryan & Masumi Jenks TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 2315 Virginia Avenue <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425) 737-9101 OWNER EMAIL: lwishlamp@gmail.com <br /> CONTRACTOR NAME:CapStone Solutions, INC. <br /> CONTRACTOR ADDRESS: STREET PO Box 715 <br /> CITY Redmond STATE WA ZIP 98073 <br /> CONTRACTOR PHONE:(360) 325-5345 CONTRACTOR EMAIL:eric.marquette@capstonesolar.com <br /> CONTRACTOR LICENSE#(REQUIRED):CC CAPSTS1883OS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58078 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(360) 325-5345 <br /> Eric Marquette CONTACT EMAIL:eric.marquette@capstonesolar.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:SFR Contract Price of Work: $2,372.5 (Labor) <br /> Proposed Use of Building:SFR Heat Source: OGas DElectric ❑Other N/A <br /> BUILDING USE: DSFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ENew ❑✓Addition Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler EDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: Installation of residential rooftop solar PV, 9.49 kW, with automatic rapid shutdown. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture <br /> List of Fixtures Fixture <br /> Count Count List of Fixtures Count List of Fixtures List of Fixtures <br /> Count <br /> NC—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 Ventilatior 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'I 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER 1110 <br /> VA� ����' 01/25/2021rOwner/Authorize gent Signature Date (Revised 1 016) DLk <br />