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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: 2102 Oakes Ave., Everett, WA 98201 PROPERTY TAX# PE 1 n l <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) L`"1 <br /> OWNER Paul Bernhard Phone/E-mail 206-459-1739 <br /> Address 2102 Oakes Ave. City/State/zip Everett, WA 98201 <br /> APPLICANT: Owner Owner's Agent Vcontractor Contractor's Agent Tenant(must provide a letter of consent from the owner to d work in the sp e) <br /> CONTRACTOR Sunergy Systems, Inc. State Lic.# sunersi905d4 City Bus. Lic. 051574 <br /> Address 4546 Leary Way NW, Seattle, WA 98107 Phone/Email 206-297-0086 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Jon Lange 206-571-4726. jonl@sunergysys corn <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 31,443.52 <br /> Existing Use of Building residence HEAT SOURCE: <br /> Proposed Use of Building I Gas Electric Other <br /> Building type: Single Family Duplex_Townhouse Multi-Family Commercial <br /> Type ofproject: New Addition Remodel Repair T.1. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <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 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 /> 4/7/17 <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />