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�� <br /> 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# PE IT# � �Q� <br /> 1508 Rucker Ave Everett,WA 98201 00475330602800 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> OWNER RUSCH JOHN F &VALERIE G Phone/E-mail (425) 327-0030 jfrusch@juno.com <br /> Address 1508 Rucker Ave City/State/Zip Everett, WA 98201 <br /> APPLICANT:_Owner _Owner's Agent X COf1tf2CtOf _COf1tf2CfOf S A90�t _TBflBflt(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Smart Energy Today State�ic.# SMARTET870BS City Bus. Lic.# 052463 <br /> Add�ess 1001 Cooper Point Rd SW ste 140-290 Olympia WA 98502 Phone/Email 360-339-6660Andrew.E@smartenergytoday.net <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK zasao <br /> Existing Use of Building Residentiai HEAT SOURCE: <br /> Proposed Use of Building Residential Gas Electric Other <br /> Building type: X Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> T e of ro'ect: New Addition Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 5.60kW Rooftop solar installation 20 panels and 10 microinverters equipped with rapid shutdown <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 handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas pipin Lavator wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Clothes dr er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink servicelbar/mo /etc. <br /> Heat um Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRIN tER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby ce fy that �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 wh er spe fied herein or noL The anting 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 m autho ed by the owner of thi roperty 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 /> �� � „��' �Gr i 7 <br /> wne uthorize ge Sig �re Date (Revised 9/2014) <br />