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BUILDING PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov l (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 1207 Colby Ave PARCEL #: 00409422901200 <br />cITY Everett STATE WA zip 98201 <br />SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Josh Markham <br />OWNER MAILING ADDRESS: STREET 1207 Colby Ave <br />CITY Everett STATE WA ZIP 98201 <br />OWNER PHONE: 228-547-3667 <br />OWNER EMAIL: jomarkh@gmail.com <br />CONTRACTOR COMPANY NAME: Switch Electric <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): SWITCEL910PK <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 052557 <br />CONTRACTOR ADDRESS: STREET 16778 146th St SE <br />CITY Monroe STATE WA zip 98272 <br />CONTRACTOR PHONE: 425-220-5042 <br />CONTRACTOR EMAIL: lanae@myswltchelectrlc.com <br />PRIMARY CONTACT: ❑ OWNER ✓❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Lanae Viruet <br />CONTACT PHONE: 425-220-5042 <br />CONTACT EMAIL:lanae@myswitchelectric.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ 30,000 <br />ASSOCIATED LAND USE PROJECT # (if applicable): <br />(Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF BUILDING: SFR <br />PROPOSED USE OF BUILDING: SFR with Solar <br />HEAT SOURCE: ❑Gas ✓❑Electric ❑Other <br />BUILDING TYPE: ❑✓ SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑✓ Remodel ❑Repair ❑T.I. ❑Change of Use <br />❑Modular ❑Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure <br />❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: <br />DESCRIPTION OF WORK: <br />Install 11.75 kw solar array <br />ACKNOWLEDGEMENT: 1 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. 1 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 />11 /16/2022 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 412112022) <br />