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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) 425257-88101 FM425-257-8857 I(E) evere#eps@avemb .gm Iwmv.evereflwa gpvryermia <br />W or BMdr Ink On Plnnw <br />PROJECT SITE INFORMATION <br />PROJECT &RE ADDRESS: PROPERTY TAX Y: <br />LEGALfornewmnsWcron. snortPlausuMlvision LW rvo._ (enecn oapyMbq legal eexepllonl <br />CONTACT ImmO TION <br />OWNERNAME: Ronald Hendee TENANT BUSINESS NAME(Commerclel): <br />DINNER MNLING ADDRESS: 11E,7910WGlenDr <br />WA Or 98203 <br />OWNER PHONE: 425 94 280-39 <br />OWNER EMAIL ronhendeem mall.com <br />CONTRACTOR NAME: Solgen Power, LLC <br />CONTRACTOR ADORES&: STGET5715 Bedford St <br />r Everett WA OF 98203 <br />CONTRACTOR PHONE: 509498-1165 <br />NTR <br />CONTRACTOR EMAIL: manele. Onzale2 s0 en Owe[-COm <br />CONTRACTOR LICENSE#(REQUIRED): SOLGEPL830RJ <br />CT' OF EVERETT BUSINESS LICENSE WREOUIREDI: <br />PRIMARY CONTACT: D OWNER ® CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Madela Gonzalez <br />CONTACT PHONE: 509-408-1165 <br />CONTACT EmaL:mariela.gonzalez@solgenpower.com <br />BUILDING INFORMATION <br />Existing Used Building Residential <br />ContractPriceot Work:$8,80640 <br />Pro eed Lee of Building: Solar <br />Heat Source: OGas MElectnc 001ber <br />BUILDINGUSE IHSFR DTmnhwse ODu Int OAOU OMulti-Family-YUni1s: OCommereal ElAccessoryStruoure <br />T of Pro : []New ®AEdiBon ❑Remodel EIRepair OT.I. LISign O& nnkler ODemdiuon OOhan aof Use <br />DESCRIPTION OF WORK: <br />PV Solar Roof Mount Install <br />ASSOCIATED BUILDING PERMIT(if a linable: <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />comaCarter <br />LlstornIftees <br />M,eL6toFFIri <br />F�nf <br />List Of Firkwas <br />ixtum <br />Lut MFiMms <br />NC -At Handling Units <br />Gas Piping <br />BeNnaw Mmenor (Ouse Bfou <br />Seower.Tub, orCanbo <br />Bdbr <br />Gas Range <br />Clothes Wasner <br />Sink Commemal(3mmp.prep.flwr) <br />clothes Dow <br />Heat PumpMuctem <br />DlsMasnm <br />Sink Resieental(kitMen.IAd <br />Dus Symerin Ranodel <br />Refingerarm <br />Dnnki FounWn <br />SnkLttty.laund <br />ExnaWt Fame Mesidentain <br />Commercial VeWWor <br />(NO HMWAC ayeam) <br />Faar Orrin <br />TOM <br />Exhaust HOW gype1) <br />tbu Bibb <br />Udnal <br />Examt Hoed (Tyre ll <br />Water Heater <br />InlerngorGane <br />WaeldWeter RON Ressor <br />Edimct HOW(Residentep <br />Wwtl Stove <br />IntsrusgorS mtoil <br />Wales Servioa Oebind meter) <br />Faced Aur Sistarns <br />Other: <br />Mearal Gas <br />Water Valves or npums <br />Gas FagarednseNLrq <br />Rmf Dmins <br />Wanes Heater <br />SPRINKLERISUPPNESSION <br />SYSTEM <br />sewage Proton Cramp Pump <br />otheralas <br />pPRINn <br />yslem <br />No. Haase <br />nart <br />uppirssan System <br />ease <br />ACKNOWLEDGEMENT. I here mrened Me, apµulron and wnfirmMe, iMb rafto+ ordained Asset a Are and cwrxL IIMk dareµavaM b0.II pant mu#rmwy Wh <br />Moment fi iwe{ Sole. and Most Nor This ynMmg a a Fa/mot only auMorma Marno✓w NOW ow no dm moan Meatmm. Cevall.Ww mud dnt W eWlmmdM wtirp from the <br />BWtlng dflnNWlde b" wlMted under any drMreneNm.B. I am Me owmen a err wlhodmd by lire owner N Mt OmAdy M PoRdm NO worth Mwtrkg emaaalM N MOO. <br />Got Mmytl/wM Me SKIM CmpeMlws Law 18 27RCW SM 295.2004 MAC <br />r-INwEwmdomem um wy <br />PERMIT# <br />.� / / � OBI14Y2021 I <br />OwmrlMrlbwbed ARM Slpwtua DN (Reused Ow"18) <br />