Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING I MECHANICAL/PLUMBING/SIGN/SPRINKLER I DEMOLITION <br /> /11P140/Y/- <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( www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3911 Nassau St.Everett,WA 98201 'PROPERTY TAX#. <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Sarah Kathryn Beck TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREEr 3911 Nassau St. <br /> ern, Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (360)259-7506 OWNER EMAIL: snoWgosling@gmail.com <br /> CONTRACTOR NAME: Forecast Solar <br /> CONTRACTOR ADDRESS: STREET 12820 Avondale Way <br /> CITY Everett STATE WA <br /> ZIP 98204 <br /> CONTRACTOR PHONE: (425)487-6000 CONTRACTOR EMAIL: morgan@forecastsolar.com <br /> CONTRACTOR LICENSE#(REQUIRED): FORECRL955MK 'CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):0 4-1'1 67 <br /> PRIMARY CONTACT: D OWNER Cid CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: Morgan Zehrung CONTACT PHONE: (425)487-6000 <br /> CONTACT EMAIL: morgan@forecastsolar.Com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Residential Contract Price of Work:$ 2 '51,0—.- <br /> Proposed <br /> Proposed Use of Building: N/A Heat Source: ()Gas ©Electric ()Other <br /> Building Type: ()SFR-Detached SFR Attached ()Duplex CIMuki-Family-#of Units: ()Commercial ()industrial <br /> Type of Project: ONew DAddfion I81Remodel ()Repair DT.I. ()Sign ()Sprinkler DDemotition ()Change of Use <br /> DESCRIPTION OF WORK: <br /> 40-Itek 300W modules, 1 -SE 10000-US Line inverter,40-SE-P320-60c optimizers,S-5 metal roof mounted. <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 /> Fixtures List of Fixtures Fixtures List of Fixtures F List of Fixtures Fixtures List of Fixtures <br /> ixturesA/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems link Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking 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 Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other. <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water ' INo.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confnn the information contained herein is hue and correct.Work done pursuant to this path*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 hom the <br /> Bulking Official before being authorized under any dreurrrstance.1 am the owner,or am authorized by the ownerof this property to perform the work for which apptcation is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official UseOnly <br /> 4/ LI/ c1 /2-01 PERMIT#,l So '�v0 <br /> Owner/Authorized Agent Signature Date (Revised 9123/2016) <br />