1715 127TH PL SE 2019-08-20 - Laserfiche WebLink

4677- PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1715 127th PI SE PROPERTY TAX#: 28053000403800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pamela Pilon TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1715 127th PI SE CITY Everett STATE Wa ZAP 98208 OWNER PHONE: 14255018355 OWNER EMAIL: n/a CONTRACTOR NAME: Offset Solar LLC - CONTRACTOR ADDRESS: STREET 510 S. Clearwater Loop#100 CITY Post Falls STATE ID ZIP 83854 CONTRACTOR PHONE: 858-243-8909 CONTRACTOR EMAIL: melissa@offsetsolar.com CONTRACTOR LICENSE#(REQUIRED): offsesl831 pl CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58082 PRIMARY CONTACT: ❑OWNER i,CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:Melissa Preuninger CONTACT PHONE: 858-243-8909 CONTACT EMAIL: melissa@offsetsolar.Com BUILDING PERMIT APPLICATION Existing Use of Building: Residential Contract Price of Work: $ 12720 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached USER-Attached ❑Duplex DMulti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Residential Roof Mount Solar System 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 #of List of Fixtures List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C–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 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( State Contractors Law 18.27 RCW and 296.200A WAC. 1100( City of Everett Official Use Only n !� ' , PE-% .%0(1 — C� ` CA Owner/Authorized Agent Signature D tI (Revised 9/23/2016)