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P-- <br /> r PERMIT APPLICATION <br /> � BUILDING/MECHANICAL I PLUMBING I SIGN I SPRINKLER/DEMOLITION <br /> '' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 l FAX 425-257-8857 1(E)everettepsgeveretiwa.gov I www.everettwa govipermits <br /> (Blue or Black IM[Only Please) 'PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3409 Oakes Ave,Everett,WA 98201 PROPERTY TAX ik 00438181900400 <br /> LEGAL for new construction: Short Ptatlsubdivision Lot No. (attach copy of tong legal description) <br /> CONTACT INFIMENAT ON <br /> OWNER NAME: Steve Chittenden TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: MEET 11011 39th Dr SE <br /> carr Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 425-238-9018 OWNER EMAIL: stevechittenden@comcast.net <br /> CONTRACTOR NAME: Forecast Roofing&Solar LLC <br /> CONTRACTOR ADDRESS: smssi 12820 Avondale Way <br /> cmc Everett STATE WA zw 98204 <br /> CONTRACTOR PHONE: 425-487-6000 CONTRACTOR EMAIL: info@forecastsolar.com <br /> CONTRACTOR LICENSE#(REQUIRED): FORECRL955MK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044167 <br /> PRIMARY CONTACT: D OWNER 6'CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-487-6000 <br /> Wilt Habenicht CONTACT EMAIL: info@forecastsolar.corn <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: R-3 Contract Price of Work:$ Z1 32S" <br /> Proposed Use of Building: R-3 Heat Source: OGas °Electric °Other <br /> Building Type: OSFR-Detached °SFR Attached ODuplex Family-#of Units: 401 °Commercial Dindustrial <br /> Type of Project: ONew °Addition Remodel DRepair DTA. °Sign °Sprinkler °Demolition °Change of Use <br /> DESCRIPTION OF WORK: <br /> Install 11.8 kW grid-tied, roof-mounted Solar PV system.40-Itek T-295-SE solar modules.40-SolarEdge SE-P320-60c <br /> optimizers, 1 -SolarEdge SE-10000H-US line inverter, Sunmodo EZ mount racking system. <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 /> t=fifim <br /> of <br /> List of F/xtures Fixtures List of Fixtures Fixtures list ofFixt res Fixtures List of Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kit hen 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 I SUPPRESSION SYSTEM <br /> ,Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT:)have reviewed this appfication and confirm the informetkn contained herein is true and correct.Work done pursuant to this permit must comply with <br /> curent federal,state,and Wel law The granting of permit onlyauthottres approved work end no deviations therefrom.Deviations must first be authorized kr wring from the <br /> Building Official before being authorized under any circumstance.I am the owner,ort am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with the State Conbaclors Law 1827RCW orad 298.200A WAC <br /> City of Everett Official Use Only <br /> 031 07/ZO(g PERMIT#91 AO t 1 <br /> Owner/ , . •Agent Signature Date (Revised. $16) 0 I <br />