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PERMIT APPLICATION <br /> BUILDING I MECHANICAL/PLUMBING 1 SIGN I SPRINKLER I DEMOLITION <br /> r'ee CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov( www.everettwa.govlpermits <br /> or Black Ink Only Please) PROJECT.SITE UNORMATION <br /> PROJECT SITE ADDRESS: 11925 Silver Lake Dr,Everett,WA 98208 'PROPERTY TAX#:00574900000100 <br /> LEGAL for new c net tion: Short Platlsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Tom Isenhart TENANT NAME(If Commercial): <br /> OWNER MAIUNG ADDRESS: sTnEEr 11925 Silver Lake Dr <br /> cnv Everett STATE WA zp 98208 <br /> OWNER PHONE: (425)210-2624 OWNER EMAIL: tomisenhart@windermere.com <br /> CONTRACTOR NAME: Forecast Roofing&Solar LLC <br /> CONTRACTOR ADDRESS: STREET' 12820 Avondale Way <br /> CITY Everett STATE WA zip 98204 <br /> CONTRACTOR PHONE: (425)487-6000 CONTRACTOR EMAIL: info@forecastsolar.com <br /> CONTRACTOR UCENSE#(REQUIRED): FORECRL955MK CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): <br /> PRIMARY CONTACT: O OWNER S 'CONTRACTOR °OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425)487-6000 <br /> Wilt Habenicht CONTACT EMAIL: info@forecastsolar.com <br /> BUILDING PERMIT APPLICATION <br /> i <br /> Existing Ilse of Building: SFR Contract Price of Work:S 2,500 <br /> Proposed Use of Building: SFR Heat Source: °Gas OEIectiic °Other <br /> Building Type: I'SFR-Detached OSFR-Attached ODuplex °Mufti-FarmiIy-#of Units: °Commercial ❑Industrial <br /> Type of Project °New °Addition Qkemodei DRepair DTI OSgn °Sprinkler °Demolition °Change of Use <br /> DESCRIPTION OF WORK: <br /> Install 11.88 kW grid-tied, roof-mounted Solar PV system.33-Itek iT 360-SE solar modules. 33-SolarEdge SE-P370-72c <br /> optimizers, 1 -SotarEdge SE-10000A-US line inverter, Sunmodo EZ mount racking system. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL MIT APPLICATION PLUMOSE;PERMIT APPLICATION <br /> Type of ProjectNew_.. Adder _AlterationRepair Type of Project New Addn Alteration Repair <br /> of <br /> List ofFbdures l List of Rebores List ofFixt es FbduresAutumn11 List ofFxt res <br /> FixturesNC—Air Handling Units Heat Pump Toilet Backflow Preventer(inside Bldg) <br /> Faked 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 Sack&Disposal Grease Trap <br /> Gas Range Ducting bishwtradter Roof Drains <br /> Clothes Dryer Hookups Other Clothes Washer Medical Gas <br /> Range Hood Water Heater Otter: <br /> Exhaust Fan Sr*(ServiceBadMopietc.) Other. <br /> SPRINKLER 1SUPPIIESSIONI SYSTEM <br /> 'Chemical or Water , INo.of Heads <br /> ACKNOWLEDGEMENT:i have reviewed ids application and confirm the information cortainedherein}stare end correct Work done pursuant to thispew*must comply wMr <br /> c urrentfederat std and local taw The granting ofapanel only authorizes approred auk aid no deviations therefrom.Umbrian must first be auth r ed in mew from the <br /> Building Orel before being authorized under any dnxanstance.I am tha owner,or I ern authorized bythe owner of this pmpetly to porton»the work for**Mr applicationismade, <br /> and I oaaply with the State Contractors Law 1827RCWand 29.20CA WAC. <br /> Guy of Everett Official Use Only <br /> PERM <br /> iii <br /> 4^1X eV AC/Zda <br /> tvitt - - <br /> owned Signet re <br /> Date (Revised 9/23/2°16) /� U 0 7- 01(p. <br />