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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CfTY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> S1TE ADDRESS: ` : ; pROPERTYTAX# M � <br /> 7 Fern Rd Unit B, Everett,WA 98203 — <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal descriptlon) <br /> OWNER Laura Zorick �„�„�,,;��� t206)300-2404 �mzorick@gm �I.com <br /> p��� 7 Fern Rd Unit B ��y���p� Everett,WA 98203 <br /> _ _ _ _ _ <br /> ,., . <br /> �I.ICANT:�,Owner Owner's Agent X Contractor _Contractor's P�qent _Tenant lmusc pmwae a ietrer of consani rrom me owner to d r��n me. : j <br /> � A and R SOLAR SPC 602-707-872 53961 <br /> E:{�'l�i�'�;: S�Lic.# L[#::�Bus.Lic.# <br /> _.__. ___ _.._. .. _. . ...._..... _ __ _ _ _ <br /> _..... __. _ : : <br /> aaet,s�3211 MLK JR WAY S, SUiTE B, SEATTLE,WA 98144 phone/Emaii 206-707-9937 Permits@a so r.com <br /> _ . .. _ !:� iF0 __ ___ <br /> ,_. .... ,. <br /> 'IA��cty Wenrick <br /> _ <br /> ,�;�.�,a 360-621- �ttti�r�$-rsc�lair <br /> BUILDING PERMIT APPLICATiON C!�#�"E�"v't``PRICE OF WOR ��QO.OQ <br /> �xisting Use of Building R6SId6�tlal SOURCE: <br /> Proposed Use ot Building� no change to building use � ����� �t;. <br /> Building type: X Single Family _Duplex Townhouse _Multi-Family _Commercial <br /> ` o� •.__ 1V�u+> x ��Itlor� .er���ei: R ... T.1.. S ' .: �rlc�', ��ictn � ;,' Use_ <br /> _..... <br /> DESCRIPTION OF WORK{addkional space provided on the back); <br /> Installing a 5.7 kW Photovoltaic System on the roof:: <br /> �..�.4 , .�%..�. .�_ . - <br /> � _., <br /> MECHANI"CAL�PERIVIIT APPLIC/�TI"�N"" ��� P�L�7MBtN�L3"PERIfiI1T"ApPL�C�CTI�ON �� � �� ' <br /> ____. <br /> of Pto�ect: ,,,,,,_New_Addn _AltereNon�Repair Typ3-of Project: ,_New Addn :Alteratlon_Repair <br /> Show Number ;of 1lxtures Show Num6er oi flxtures <br /> A/C—air handlin units �_ . Toilef <br /> Fa�c�d 'r:' �t m '. : _ . 8 thxub <br /> Gas i in Lavato .,wash basin <br /> Water heater ShQwer ; <br /> Gas fire lace ° r Kitchen sink 8 dis osai <br /> Gas r�n e Di�hwa�h�r <br /> ClaYhes d er : ; Clotk�es�nrasher <br /> Ran e.,hcad Vtiater heater ; <br /> Exhaust fan Sink servicelbar/mo letc. <br /> Heat um .. -. Bac[cf(ow 'reuenter <br /> linit heater. _ , ' Urina( <br /> Boiler ' Drinkin Fountain <br /> _ _ _ _ __ __ __ <br /> _ . _ <br /> :Refri eration _ : � .: F7oor sicain <br /> Wqodstcave Grease tra <br /> Ductin ` Roof drains <br /> _ ;.. <br /> Other ' Medicai Gas <br /> _ .. _ _._ <br /> SPRINKLER/$UPPRESSION SYSTEM Other: <br /> ; Number of Heads Qther: _ <br /> I hereby certify that I have read end examined Ihis applicatlon and know the same to be true and correct.All pravislons of laws and ordinances goveming ihls rype of woric will be comp <br /> wifh whether specified herein or not.The granting of a permit daes not presume to give authoriry to violate or cancel lhe provision of any other state or locai law reguladng consWctlon <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 /> 7���2��� <br /> OwnerlAuthorized Agent Signature Date (Revised 9/2014) <br />