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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: 8016 Beverly Blvd PROPERTY TAX# I Zjn:L� — O <br /> 2,5 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Robert Pierre Phone/E-mail 206-767-9999 <br /> Address 8016 Beverly Blvd City/State/Zip Everett, WA 98203 <br /> APPLICANT: Owner Owner's Agent V Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner do work in the space) <br /> CONTRACTOR sunergy systems state Lic.# sunersi905d4 City Bus. 4c. <br /> Address 4546 Leary way nw, Seattle, wa 98107 Phone/Email 206-297-0086 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail jon lange: 206-571-4726 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 33,589.00 <br /> Existing Use of Building residence HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: V/Single Family Duplex_Townhouse Multi-Family Commercial <br /> Type ofproject: VNew Addition Remodel Repair T.I. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> rooftop photovoltaic system. no batteries or energy storage. rapid shutdown compliant. <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 dryer 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 V Other: solar electric <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 state 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 /> in�44 4/3/17 <br /> Owner/Auth rued nt Signa re Date (Revised 9/2014) <br />