2822 LARLIN DR 2016-11-07 - Laserfiche WebLink

�` � � T. �� ECT SITE ADDRESS: � PERMIT APPLICATION ! BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits for new construction: Short PlaUsubdivision PROPERTY TAX #: Lot No. (attach copy of long legal description) GONTACT INFORMATION OWNER NAME: BENJAMIN YOLTNG TENANT NAME (If Commercialj: OWNERMAILINGADDRESS: srREET2822 LARLIN DR c,Tv EVERETT STATE WA Z,P 9 8 2 03 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAMESME INC OF SEATTLE DBA NW WIND & SOLAR CONTRACTOR ADDRESS: sTReeT 8 2 8 POPLAR PL S �in. SEATTLE STATE wA ZiP 98144 CONTRACTORPHONE206-391-2603 CONTRACTOREMAIL: DICKSONH@NWWINDANDSOLAR.CQI��- CONTRACTOR LICENSE #(REQUIRED): SME INS * 0 6 6 DB CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): �f 3 O 2 O 5 PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 2 0 6- 3 91- 2 6 0 3 DICKSON HARDING CONTACT EMAIL: DICKSONH@NWWINDANDSOLAR. COM ` BUILDiNG<PGRM'IT APPLlCAT10N; '� Existin Use of Buildin : gR Contract Price of Work �$ 2 5 0 0 �' Proposed Use of Buildin : ADD SOLAR PANELS TO ROOF Heat Source: ❑Gas �❑Electr��`� ❑Other Buildin T e: �1SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial T pe of Pro ect: ❑New ❑Addition �lRemodel ❑Repair ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: 9.28KW PV SYSTEM ON ROOF, GENERATOR MANUAL TRANSFER SWITCH INTERLOCK KIT & PLUG ASSOCIATED BUILDING PERMIT # if a licable : ACKNOWLEDGEMENT: 1 have reviewed this application and confirm the information contained herein is true and conect. 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 Officia! before being authorized under any circumstance. 1 am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and 1 comp/y with the State Contractors Law 18.27 RCW and 296.200A Wi4C. KELSEY HURST 08/23/16 Owner/Authorized Agent Signature Date City of Everett Official Use Only PE17�M1 ��D�-�� (Revised �20/2016)