3700 COLBY AVE EVERETT OPTOMETRY CLINIC 2019-08-07

4677. PERMIT APPLICATIC:: BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 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: 3700 Colby Ave, Everett, WA 98201 PROPERTY TAX#: !JUL/_57 /EL ye)ZIJ(} LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: James Schrader TENANT NAME(If Commercial): Everett Optometry Clinic OWNER MAILING ADDRESS: STREET PO Box 986 CITY Everett STATE WA ZIP 98206 OWNER PHONE: 425-280-7667 OWNER EMAIL: s.schrader@everettoptometry.com (CONTRACTOR NAME: Fire Mountain Solar, LLC CONTRACTOR ADDRESS: STREET 18388 Perwinkle Lane CITY Mount Vernon STATE WA ZIP 98274 CONTRACTOR PHONE: 360-422-5610 CONTRACTOR EMAIL: tim@fmsolar.com CONTRACTOR LICENSE#(REQUIRED): FIREMMS835KR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 051373 PRIMARY CONTACT: V(OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-422-5610 Tim Nelson CONTACT EMAIL: tim G@fmsolar.com BUILDING PERMIT APPLICATION Existing Use of Building:Solar Electric System Racking •Contract Price of Work: $ 4,500 Proposed Use of Building: Racking For Solar Heat Source: ❑Gas DElectric MOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: 17Commercial Dlndustrial Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Solar Racking & Flashings 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 !No.of Heads ACKNOWLEDGEMENT:I 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.I am the owner,or I 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 PEWIT 1wner/Authorized Agent Signature Date (Revised 9/23/2016)