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PERMIT APPLICATION <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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> E <br /> SSW('or Black Ink Only:Please). PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 226 96th PI SE, Everett,WA 98208 _PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision .. Lot No, (attach copy of long legal description) <br /> CONTACT INFORMATION.. <br /> OWNER NAME Steve Sturm TENANT NAME(If Commercial): _ <br /> OWNER MAILING ADDRESS: STREET 226 96th PI SE <br /> cry Everett STATE WA zip 98208 <br /> OWNER PHONE: (425)308-1809 [OWNEKEMAIL: sturm.steve59@gmail.com <br /> C+t}l+l'TI' C'I t-NAME: A&R SOLAR <br /> CONTRACTOR ADDRESS: STREET 3211 Martin Luther King Jr Way S, Suite B <br /> CRY Seattle STATE WA zip 98144 <br /> CONTRACTOR PHONE 206-707-9937 <br /> .CONTRACTOR EMAIL:permitsQa-rsolar.Com <br /> CONTRACTOR LICENSE.i f E UIRED):RSOLAS*903JM [CITY OF EVERETT BUSINESS LICENSE#(REQUIRE 053961 <br /> PRIMARY CONTACT: 0 OWNER IN CONTRACTOR 0 OTHER(Please Specify), <br /> CONTACT NAME: CONTACT PHONE: 360-621-8238 <br /> WendyWenrick <br /> CONTACT EMAIL: ermit <br /> ,..P s@a-iso .com <br /> BUILDING PERMIT APPLICATION" <br /> Existin• Use of Buildin•: Residential Contract Price of Wor : • IllafP16-16— <br /> Proposed Use of Building:;No change to building use Heat Source ❑Gas ilElectric ■ her <br /> Building,Type:. ❑SFR-Detached USFR-Attached DDuplex,: ❑Multi-Family-#ofUnits:. ■ •mmercial DIndustrial <br /> Type of Project ❑New ®Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler •• •i ion °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 /> List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures, Fixtures <br /> C-Air Handling Units Heal"Pump Toilet Backflow Pre venter(Inside Bldg) <br /> Forced Air Systems Unit Heater 'Bathtub Jnnal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Nater 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 Washer Medical Gas <br /> Ran a Hood:= Water eater Other <br /> Exhaust Fan `. Sink(service/Ba <br /> r/Mop/etc.j Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> a <br /> Chemical or Water ' INo;of Heads <br /> ACKNOWLEDGEMENT:/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 onty 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:lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 0//i/' of Everett Offipial..Use Only <br /> T--- <br /> / <br /> PERM <br /> � IVq. 0-0 <br /> 14 <br /> 9 rA.. (21(A <br /> 1 .::: (Revised 9123720.6).... <br /> Owtt@rlAutliotAgent Signature Date <br />