312 SYDNEY LN 2024-11-08 - Laserfiche WebLink

DocuSign Envelope ID:CE32600C-3A3E-4ECB-A85C-30073282CB48 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 312 Sydney ST PARCEL#: 00612000001300 cITY Everett STATE WA Z,p 98203 Sul E/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:Pauline Mungania OWNER MAILING ADDRESS: STREET 312 Sydney ST CITY Everett STATE WA Z,p 98203 OWNER PHONE:253) 353-0641 1OWNER EMAIL: PkaJlral 998@gmail.com CONTRACTOR COMPANY NAME:WIre Nutz Electrical Services WA STATE CONTRACTOR LICENSE#(REQUIRED):WIRE NNE892J6 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 64916 CONTRACTOR ADDRESS: STREET 13023 NE HWY 99 STE 7 PMB 264 CITY Vancouver STATE WA ZIP 98686 CONTRACTOR PHONE:360-609-2714 CONTRACTOR EMAIL:OPS@wirenutzelectrlc.com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-609-2714 Matt Lasch CONTACT EMAIL:opS@wirenutzelectric.com BUILDING INFORMATION VALUATION OF WORK: $15,000 ASSOCIATED LAND USE PROJECT#(if applicable): (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: PROPOSED USE OF BUILDING: HEAT SOURCE: [-]Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑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 ❑Pool/Hot Tub [-]Tank(above ground) Z10ther:rooftop solar PV DESCRIPTION OF WORK:? 30kW roof mount solar pv system using 20 Hyundai Solar HIS-365XG(BK) (365w) modules and 20 Enphase IQ8PLUS-72-2-US microinverters ACKNOWLEDGEMENT.I 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 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only DocuSigned by: Atw (,us 3/15/2023 PERMIT# BE Owner/Authorize ge gnature Date (Revised 412112022)