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0 PERMIT APPLICATION* <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4,67T 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 5508 Beverely Ln, Everett 1PROPERTY TAX#: 00471900003900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Jesse Jones TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5508 Beverely Ln <br /> c,TY Everett STATE WA zip 98203 <br /> OWNER PHONE: (202) 413-6999 OWNER EMAIL: terinati@kittyisland.net <br /> CONTRACTOR NAME, Smart Energy Today <br /> CONTRACTOR ADDRESS: STREET 1001 Cooper Point Rd. SW Ste 140-290 <br /> CITY Olympia STATE WA zip 98502 <br /> CONTRACTOR PHONE: 360-339-6660 CONTRACTOR EMAIL: Andrew.E@smartenergytoday.net <br /> CONTRACTOR LICENSE#(REQUIRED): SMARTET870BS ICITY OF EVERETT BUSINESS LICENSE#(REQUIR D):052463 <br /> PRIMARY CONTACT: ❑OWNER V1 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-339-6660 <br /> Andrew Eberdt CONTACT EMAIL:Andrew.E@smartenergytoday.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Residential Contract Price of W,<'$ 19,600.00 <br /> Proposed Use of Building: Residential/Solar Generation Heat Source: El Gas Electric ❑Other <br /> Building Type: ZISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: []New ZIAddition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> 3.92kW Rooftop solar installation 14 panels and 7 microinverters equipped with rapid shutdown <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn _Alteration _Repair Type of Project: New Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove I Kitchen Sink&Disposal I Grease Trap <br /> Gas Range Ducting IDishwasher I Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDG ENT:I have reviewed th application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal, ate,and local law. The g 'ting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Offi before being authorized der any circumstance.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 com ith the State Contractor aw 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> P ITS <br /> Owe Au orized nt Signa re Date (Revised 9/23/2016) <br />