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0 PERMIT APPLICATION • <br /> 4,E7T BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 2�OB Ifibpv In Fusels WA 98203 <br /> LEGAL for new construction. Short Plattsubdivision Lot No (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2WB AbNeLn d� ��S/ <br /> CITY Evaen �L/� STATE WA '^ <br /> zir 9� Sl�c/ <br /> OWNER PHONE: a2serasllz OWNER EMAIL: wmm e®rehoo. <br /> CONTRACTOR NAME: Forecast Solar LLC <br /> CONTRACTOR ADDRESS: STREE 23706-C 7th Ave SE <br /> CrTr Bothell STATE WA ,,,98021 <br /> CONTRACTOR PHONE:425-487-6000 CONTRACTOR EMAIL:info@forecastsolar.com <br /> CONTRACTOR LICENSE#(REQUIRED):EC FORECRS883DG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):044167 <br /> PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) _ <br /> CONTACT NAME: CONTACT PHONE:425-487-6000 <br /> Morgan Zehrung <br /> CONTACT EMAIL:info@forecastsolar.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: SFR Contract Price of Work:$ 31.245M ( i ®® <br /> Proposed Use of Building: -R Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> aome,wl�a�aeeew� <br /> —�� oor <br /> ASSOCIATED BUILDING PERMIT#(if applicable): PV f7e-0 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: __New _ Addn _Alteration _Repair Type of Project: _New _Adds _Alteration _Repair <br /> #of List of Fixtures #of #of <br /> List of Fixtures List of Fixtures #of <br /> Fixtures Fixtures Fixtures Fixtures List of Fixtures <br /> AIC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refri eration Shower <br /> Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> 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 <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 I am authorized by the owner of this properly to perform the work for which application is made, <br /> and f comply with the State Contractors Law 18 27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owne thorized nt Si iatu Date (Revised 10/12/2015) <br />