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0 PERMIT APPLICATIOV <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / PRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (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: 3530 Federal Avenue I PROPERTY TAX#: <br /> LEGAL for new construction. Short Plat/subdivision Lot No, (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Tamas Eros TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET Same as above <br /> OWNER PHONE:(425) 381-5694 OWNER EMAIL:teros68@gmail.com <br /> CONTRACTOR NAME: Solterra <br /> CONTRACTOR ADDRESS: STREET 2910 1 St Ave S#200, Seattle WA 98134 <br /> CONTRACTOR PHONE:(206)462-1103 CONTRACTOR EMAIL:solaradmin@solterra.com <br /> CONTRACTOR LICENSE#(REQUIRED):SOLTES1921 PG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER @ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> Marisa Mora-Zapata CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATION ' <br /> Existing Use of Building:Single Family Residence Contract Price of Work: $32,949 <br /> Proposed Use of Building:Installing solar panels on roof Heat Source: []Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached @SFR-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New @Addition ❑Remodel ❑Repair ❑T.I. ❑Sin ❑Sprinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Installation of 8.4kW PV system on roof <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn _Alteration _Repair Type of Project: New Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—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 Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ran e 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.I am the owner,or I 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 /> 7�J <br /> 7/8/2016 PERMIT#, 0 <br /> Owner/Authorized Agent Signatu /l Date (Revised 512012V16) <br />