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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857. www.everettwa.org <br /> SITE ADDRESS: PROPERTY TAX# 1 # <br /> 1008 Grand Ave PE Ir1 01.4521 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Bradley Gong Phone/E-mail gongb1836@comcast.net <br /> Address 1008 Grand Ave city/state/zip Everett/WA/98201 <br /> APPLICANT: Owner _Owner's Agent V Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Sunergy Systems State Lic.# Sunersi905d4 City Bus.Lic.# *Mit <br /> Address 4546 Leary Way NW, Seattle, Wa 98107 Phone/Email 206-571-4726 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Jon Lange-206-571-4726/jonl@sunergysystems.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 18,498.00 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other <br /> Building type: Single Family Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: New Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> rooftop photovoltaic, grid-tied-no batteries. install new 200a Meter Main Panel outside, existing electrical <br /> panel to become sub-panel. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preve"rater <br /> Unit heater Urinal <br /> Boiler Drinking Fountain '1 <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> V Other Rooftop photovoltaic Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> INumber of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be compl <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That <br /> 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 /> O� r/ L os ized ent Signaturerd7/13/17 <br /> Date (Revised 9/2014) <br />