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BIBB <br />PERMIT APPLICATION <br />BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION <br />OF EVERETT PERMIT SERVICES <br />EVERETT <br />MOO CEDM STREET, EVERETT, WA W201 <br />WASHINGTON <br />OP) 02525TB810I FAK425-257-8857 I(E)Www.everelNn.govlpermib <br />i(Sim or BMdT Ink Only Plonno <br />PROJECT SITE INFORMATION <br />PROJECTSTTEADDRESS: lot T9THPLSEEVERETTWAM4o3 PROPERTY TAI(COU74es"Abl2o0 <br />LEGALforrlewrnnsnuchon. Snort PlalhlW lvispn LNNo._ (ellecnoapyo "INaleemnWion) <br />CONTACT INFORMATION <br />OWNER NAME: RUSSEILW1LSON TENANT BUSINESS NAME(Conrarial) <br />OWNER MNLING ADDRESS: STREET IRI Tom M BE <br />Cry EVERETT S7ArE WA On 99203 <br />OWNER PHONE: SOO) Wa.2119 <br />OWNEREMAIL'"nGo31®omvmn <br />CONTRACTOR NAME: SOLGEN POWER <br />CONTRACTOR ADDRESS: MEET 5715 BEINGRD STREET <br />City PASCO AT[ WA Zp Gool <br />CONTRACTOR PHONE: 5W 931-lal <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE AIREOUIREB: SOLGEPLUDGE <br />CITY OF EVERETT BUSINESS LICENSE Y(REOUIREOI: e2231 <br />PRIMARY CONTACT: D OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />NIKKI RELYES <br />CONTACT PHONE:'A993tnRa <br />CONTACT EMAIL: PENKIT➢ NGWA§SOGLENFOWERCOM <br />BUILDING INFORMATION <br />Existing Use &Building SINGLE FAMILY RESIDENTIAL- DWELLING <br />Contract Price M Wo&1 BALM <br />Proposed Lee of Building: SAME <br />Heal Source: OGas DElectbc DOBIer <br />BUILDINGUSE 0SFR OTownhouse E]Du kK DADU OMufli-Family-itUnifs: ElCommendal DAaesso Structure <br />T of Pro : []New EAGG 0 ORemorlel EIRepair DT.i. 0sign LJS nnkler ODemdifion OCben e&Use <br />DESCRIPTION OF WORK: <br />PJ SOLAR ROOF MOUNT <br />ASSOCIATED BUILDING PERMIT(if a linable: <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />FImm <br />coma <br />Llstof Fiihres <br />eWu,L61oLFtrhxes <br />G,e <br />Fndurre <br />nt <br />Llstof FlaYorq <br />Cxamf <br />LIaf MFlcWres <br />KC -At Hanellrg LOSS <br />Gas Plying <br />BeNnaw Pmemar Bnews MOO) <br />Seower,Tub, orCanbo <br />Bdbr <br />Gas Range <br />Clothes Wasner <br />Sink-0ammamal(Smmp,prep.floau <br />Clothes Dinew <br />Heat PumpBDudms <br />DlsMasher <br />Sink Resiidental(kitchen.los <br />DUN Syment Ranoeel <br />Ref" anon <br />Denki FounWn <br />SnkARhtf.laund <br />Exhaust Resleentltl <br />Commercial VenllNtlo <br />(NO HWWAC SW )) <br />Floor Drain <br />Tollel <br />Exhaust HOW gylwN <br />HOW Bibb <br />Urinal <br />Exhaust HOW (Type 11 <br />Water Healer <br />InlerngorGane <br />WaslaM1Vater RON Repa'r <br />Exhaust HOW(Residenlel) <br />Wwtl Stove <br />InlerusgorSaMrOil <br />Wales Sarvire(behind meter) <br />Faced Au Sirrams <br />Other: <br />Medical Gas <br />Water VAI or Rpuas <br />Gas FagaroMmom Lrq <br />Rml Gains <br />Wanes Heeler <br />SPRINKLER <br />SPRINKLERISUPPNESSIONNo. <br />SYSTEM <br />sung Sewspas PHAIG Pump <br />Omar <br />arcs <br />Hwea <br />Cranston <br />uppassun System <br />ewes <br />ACKNOWLEDGEMENT I here mrened Its, apµuoon and amdrm lM istomm +commed covert a Me and cane NM dareµavaM b MA wrmif must rmwy Wh <br />container leimN,.tlele. and Goal him, The enMmB Ol a Pamd only awhom of mp'wad NOW eM no ammoors Ihealmm. Ownwall.Ww mud hnl W eWlmmdM wri hcm the <br />SWAM dfltlm' WMre being wlMted under myrNcerlabrwp. I am Me Dcarer, a an wlhWmd by the owner N tlMe OmAny MPorlam IW w'OK MwhkYl Operation Ire MOO. <br />and campy None Me Stele COMMOOS Law 18 27RIaM 296.XgA SAC <br />OgorEwmdomwmum Noy <br />PERMITII <br />10.14M21 <br />Ownhimilswtred Agent Signature Cab (Reused Ow"18) <br />