3332 NASSAU ST 2024-04-30 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3332 Nassau Street PARCEL#: 00437578501700 clTy Everett STATE WA z,p 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:John Wiltshire OWNER MAILING ADDRESS: STREET 3332 Nassau Street clTy Everett STATE WA zla 98201 OWNER PHONE:(425)212-7837 OWNER EMAIL: hjohnwiltshire@yahoo.com CONTRACTOR COMPANY NAME:SOlgen Power, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):SOLGEPL820BE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 604182705 CONTRACTOR ADDRESS: STREET5715 Bedford St. clTr Pasco STATE WA zir 99301 CONTRACTOR PHONE:(509) 394-4099 CONTRACTOR EMAIL:permitting@solgenpower.com PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(509)394-4099 Ingrid Lo m e ra CONTACT EMAIL:permitting@solgenpower.com BUILDING INFORMATION VALUATION OF WORK:$4,320 ASSOCIATED LAND USE PROJECT#(if applicable): n/a (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:residence PROPOSED USE OF BUILDING:PV solar roof mount installation HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: RISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑PooUHot Tub ❑Tank(above ground) ❑✓Other:PV solar roof mount installation DESCRIPTION OF WORK: PV Solar Roof Mount Installation, 1 circuit, 3.600kw 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 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 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/s made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 09/22/23 PERMIT# 3t-PL 3, o - D6 9 Owner/Authorized Agent Signature Date (Revised 4/21/2022)