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910 91ST PL SW 2023-10-23
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910 91ST PL SW 2023-10-23
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Last modified
10/23/2023 11:48:21 AM
Creation date
10/19/2023 11:35:27 AM
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Address Document
Street Name
91ST PL SW
Street Number
910
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Di ^DC48024-CF2D-41 E6-9C6B-8C6509293DA8 <br /> rERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> EVERETT 32CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS.910 91 ST PL SWI 00688300000600 TAX#:00688300000600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: SHANNON SMITH TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET910 91ST PL SW <br /> cin, EVERETT STATE WA Zip 98204 <br /> OWNER PHONE: 425)583-3739 OWNER EMAIL:shankat@comcast.net <br /> CONTRACTOR NAME:SOLGEN POWER <br /> CONTRACTOR ADDRESS: STREET 1992 SAINT STREET <br /> ciry RICHLAND STATE WA Zip 99354 <br /> CONTRACTOR PHONE:509-505-6834 CONTRACTOR EMAIL:NICOLE.RELYEA@SOLGENPOWER.COM <br /> CONTRACTOR LICENSE#(REQUIRED):SOLGEPL820RJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:509-505-6834 <br /> NIKKI CONTACT EMAIL:NICOLE.RELYEA@SOLGENPOWER.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:RESIDENCE Contract Price of Work: $11558 <br /> Proposed Use of Building:RESIDENCE 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: <br /> PV SOLAR ROOF MOUNT AND MAIN ELECTRICAL PANEL UPGRADE <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 List of Fixtures <br /> Count <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 Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type 1) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type 11) 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 lWater 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:/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 1 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 /> DocuSigned by: <br /> PERMIT# <br /> 3/10/2021 <br /> w— r u oIZe Agent Signature Date (Revised 10/10/2018) <br />
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