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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 i(E)eVefettepeateVerettwa,povi www,everettwa.gov/permits <br /> (Slue or Black Ink"Only Please) PROJECTSITE INFORMATION ; vimneverettwa.gov/permits <br /> PROJECT SITE ADDRESS: 5002 9th Ave W, Everett,WA 98203 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of long legal description) <br /> tONTAc'I'INlO"RMATIdI <br /> OWNER NAME: Don Cowdrey TENANT NAME(If Commercial): <br /> owe <br /> OWNER MAILING ADDRESS: STREET 5002 9th Ave W <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: (206)300-6903 f OWNER EMAIL dgcowdrey@gmail.com <br /> CONTRACTOR NAME A&R SOLAR <br /> CONTRACTOR ADDRESS: srneer321 I Martin Luther King Jr Way S,Suite B <br /> CITY Seattle STATE WA zip 98144 <br /> CONTRACTOR PHONE 206-707-9937 'CONTRACTOR EMAIL permits@a-rsolar.com <br /> CONTRACTOR LICENSE AREQU IRED):RSOLAS*903JM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):053961 <br /> PRIMARY CONTACT: 0 OWNER ■CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-621-8238 <br /> WendyWenrick <br /> CONTACT EMAIL: permits@a-rsolar.com <br /> :: BUILQING PERpill'i Arieu `Attu <br /> Existing Use of Building: Residential Contract Price of Work:$7321>33 <br /> Proposed Use of Building:No change to building use Heat Source: ❑Gas Electric ❑Other <br /> Building Type: ❑SFR-Detached BSFR-Attached ODuplex ❑Multi-Family#of Units: ❑Commercial 0 Industrial <br /> Type of Protect: ❑New OAddition ❑Remodel ❑Repair ❑TI. ❑Sign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OP WORK <br /> Installing photovoltaic system on roof <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 /> #of #of #of , #of ' <br /> List of Fixtures List of FixturesList of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> AIC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems . -Unit Heater m 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 /> lothes Dryer Hookups Other: ,Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan » Sink(Service&BarlMoptet,1 Other <br /> SPRINKLER 1 SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT.'f have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit 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 from the <br /> Building Official before being authorized under any circumstance.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMI1(-/ <br /> . <br /> Glu -02271 <br /> r .. nt(Signature:: date (Revised 9/20/201$) <br />