1422 W MUKILTEO BLVD 2019-02-12 - Laserfiche WebLink

BUILDING/MECHANICAL!PLUMBING I SIGN/SPRINKLER/DEMOLITION � � CITY OF EVERETT PERMIT SERVICES ti+ 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only-Please) PROJECT;SITE INFORMATION PROJECT SITE ADDRESS: 1422 W.Mukilteo Blvd.Everett WA 98203 PROPERTY TAX#: 00505700000801 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Erick Olson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1422 W Mukilteo Blvd cnv Everett STATE WA ZIP 98203 OWNER PHONE: (425)750-4111 OWNER EMAIL: ottoolson@me.com CONTRACTOR NAME: Blossom Solar LLC CONTRACTOR ADDRESS: STREET 1706 Lombard Ave CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE: 425-330-4322 CONTRACTOR EMAIL: cole@blossomsolar.com CONTRACTOR LICENSE#(REOUIRED): BLOSSSL823M7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57621 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-330-4322 9.62 kW grid tied solar system CONTACT EMAIL: cote@blossomsolar.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ $20,438.16 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ®SFR-Detached ❑SFR Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 11.4.,5k '\' -' 6'04,or "to4•-• kl4.k ko Gu►C� ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION ' PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn Alteration _Repair Type of Project: _New Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other. SPRINKLER]SUPPRESSION SYSTEM !Chemical or Water I INo.of Heads ACKNOWLEDGEMENT 1 have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with 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 from the Building Official before being authorized under any circumstance.lam the owner,or l 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. City of Everett Official Use Only C4f3t Rd/IL I 16/l PERM l \ O 1 Owner/Authorized Agent Signature Date (Revised 9/23/2016) j r