Laserfiche WebLink
PERMIT APPLICATION <br /> #11111°P4011/1 ":"—A' <br /> BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I wwv.everettwa.govipermits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:420 View Ridge Drive, Everett, WA 98203 PROPERTY TAX#:00606100001000 <br /> LEGAL for new construction: Short Platlsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Suzy OVerSVee TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET420 View Ridge Drive <br /> c,r Everett STATE WA ZJP 98203 <br /> OWNER PHONE:(202)213-8874 OWNER EMAIL: soversvee@gmail.com <br /> CONTRACTOR NAME: A&R SOLAR <br /> CONTRACTOR ADDRESS: STREET 3211 Martin Luther King Jr Way S, Suite B <br /> c,n Seattle STATE WA ZJP 98144 <br /> CONTRACTOR PHONE: 206-707-9937 CONTRACTOR EMAIL:permits@a-rsolar.com <br /> CONTRACTOR LICENSE#(REQUIRED) a.t2 QL Pr � BUSINESS LICENSE#(REQ IREO):053961 <br /> PRIMARY CONTACT: ❑OWNER M CONTRACTOR 0 OTHER(Please Specify) <br /> Wenrick <br /> NAME: CONTACT PHONE: 360-621-8238 <br /> Wendy CONTACT EMAIL: permits@a-rsolar.com -- <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Residential Contract Price Work:$ _ ' 2 <br /> Proposed Use of Building:No change to building use Heat Source: Gas ®Electric ,❑Other <br /> Building Type: ❑SFR-Detached MSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New MAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Installing photovoltaic system on roof <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 1 <br /> _Gas Piping Boiler Lavatory(Wash Basin) ..Water <br /> Fountain <br /> _Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes WasherMedical Gas <br /> ! <br /> Range Hood Water Heater 'Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water J No.of Heads <br /> 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 <br /> 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 <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with the State Contractors Law 18.27 RCW and 298.20011 WAC. <br /> City of Everett Official Use Only <br /> \j\IiikAvA <br /> PER # <br /> 4 <br /> Owner/Authorized Agent Signature Date (Revised !2312016) <br />