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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTY TAX# A�IY#1 I <br /> 12319 14th Dr SE, Unit D, Everett, WA 98208 1 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Dave Caldwell Phone/E-mail 425-985-1135 david.caldwell@pse.com <br /> Address 12319 14th Dr SE City/state/Zip Everett,WA 98208 <br /> APPLICANT:—Owner —Owner's Agent X Contractor Contractor's Agent _Tenant(must provide a latter of consent from the owner to do work in the space) <br /> CONTRACTOR A&R SOLAR CORP. State Lic.# 602-707-872 City Bus.Lic.#053961 <br /> Address 3211 MLK JR WAY S, SEATTLE,WA 98144 Phone/Email 206-707-9937 Permits@a-rsolar.com <br /> TENANT BUSINUESS 0XI CONTACT FOR PERMIT <br /> Jesse Anderson <br /> Phone/E-mail 206-317-4656 jesse@a-rsolar.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 20,750.00 <br /> lti <br /> idena <br /> Existing Use of Building ResHEAT SOURCE: <br /> Proposed Use of Building no change to building use Gas Electric X Othor <br /> Building type: X Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type ofproject: New X Addition Remodel Re air T.1. Sin S nnklsr Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Installing a 7.2 kW Photovoltaic System on the roof. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes d er Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads } Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp <br /> with whether specified herein or not.the granting of a permit does not presume to give authority to violate or cancel the provision of any other slate or local law regulating construction <br /> -that I 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. <br /> 3/30/2017 <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />