4200 RIDGEMONT DR 2018-06-27 - Laserfiche WebLink

�-- < LL' CT CAL PERMIT AP (CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 1 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits Y:.. 1 PROJECT SITE INFORMATION 1 PROJECT ADDRESS: 4200 Ridgemont Drive, Everett, WA 98203 BUILDING AREA(if residential, new construction,remodel,or addition) BP 1 BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SFR - - TRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: . $2,000 NUMBER OF DEVICES (if low v,Itage): FIRE ALARM? 0 YES • NO ASSOCIATED BUILDING PERMIT#(if applicable): 'DESCRIPTION OF WORK: Installing 9.9 kW PV system on rooftop. CONTACT INFORMATION OWNER NAME: Bill Sheets TENANT NAME(If Commercial}: OWNER MAILING ADDRESS STREET 4200 Ridgemont Drive CITY Everett STATE WA zip 98203 OWNER PHONE: 425-374-7379 OWNER EMAIL 1polarbearstanding@comcast.net M CONTRACTOR NAME: NW Wind&Solar CONTRACTOR ADDRESS:: STREET 828 Poplar Place South cin Seattle STATE WA zip 98144 CONTRACTOR PHONE: 206-391-2603 CONTRACTOR EMAIL: consueloc@nwwindandsolar.com CONTRACTOR LIC-i#REouiREo SMEINS*066DB CITY OF EVERETT BUSINESS LIC IReQUIRE, ;.030205 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-391-2603._ Dickson Harding, Project Manager CONTACT EMAIL:consueloc@nwwindandsolar.com AGREEMENT:I hereby certify that t 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 completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction, That I am authorized by the owner of this property to perforin the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296,200 WAC, City of Everett Official Use Only PERMIT# 7 a. .. : arI , Agent Signature Date (Revised 9/23/2016)