3420 BELL AVE 2017-09-07 - Laserfiche WebLink

PERMIT APPLICATION BUILDING 1 MECHANICAL/ PLUMBING /SIGN 1 SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www,everettwa.goviperrnits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3420 Bell Ave, Everett, WA 98201 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jon Einarsen TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3420 Bell Ave c,ry Everett srATE WA zip 98201 OWNER PHONE: (425)478-6240 OWNER EMAIL: jeinarsen@zippergeo.com CONTRACTOR NAME: A&R SOLAR CONTRACTOR ADDRESS: STREET 3211 Martin Luther King Jr Way S, Suite B c,T, Seattle STATE WA zip 98144 CONTRACTOR PHONE: 206-707-9937 CONTRACTOR EMAIL: permits@a-rsolar.com CONTRACTOR LICENSE#(REQUIRED):RSOLAS'903JM ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED):053961 PRIMARY CONTACT: ❑OWNER M CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-621-8238 Wendy Wenrick CONTACT EMAIL: permits@a-rsoiar.com BUILDING PERMIT APPLICATION Existing Use of Building- Residential Contract Price of Work:$8758.00 Proposed Use of Building:No change to building use Heat Source: []Gas MElectric ❑Other Building Type: ❑SFR-Detached BSFR-Attached ❑Du lex ❑Multi-Family-#ofUnits: ❑Commercial ❑Industrial Type of Prdect: ❑New MAddition ❑Remodel ❑Repar ❑T.I. ❑Sin []Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installing photovoltaic system on roof ASSOCIATED BUILDING PERMIT# if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration Repair Type of Project: New Addn Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer Inside Bldg) Forced Air S stems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fire lace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes D _er Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(ServiceiBariMop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I I No. of Heads ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct. 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 Official before being authorized under any circumstance I am the owner,or/am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296 200A WAC. City of Everett Official Use Only 1� PERM # 19 {km er Authorized Agent Signature Date (Revised 9!2312016)