3315 BROADWAY HOPEWORKS STATION 2 2020-12-02

ELECTRICAL PERMIT APPLICATION A►�� - 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 i www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3331 Broadway Ave, Everett WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition)5353 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-4 OF UNITS: ®COMMERCIAL USE OF BUILDING: New construction building for an affordable housing non-profit ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 157,264.41 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installing PV system on rooftop CONTACT INFORMATION OWNER NAME: HOPEWORKS SOCIAL ENTERPRISES TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3331 Broadway Ave c,T,. Everett STATE WA zip 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: A AND R SOLAR SPC CONTRACTOR ADDRESS: STREET 3211 Martin Luther King Jr Way S, Suite B c,n Seattle STATE WA ZIP 98144 CONTRACTOR PHONE: 206-707-9937 CONTRACTOR EMAIL: permits@a-rsolar.COm CONTRACTOR LIC.#(REQUIRED): RSOLAS*903JM CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053961 PRIMARY CONTACT: ❑OWNER VI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-621-8238 Wendy Wen rick CONTACT EMAIL: permits@a-rsolar.com AGREEMENT.I hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 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 296.200 WAC. cl\ C s (M-C-11)I tool - nod City of Everett Official Use Only PERMIT# 0A-01(./\ I 1-1 1zeD5E \01.U - Owner/Authorized Agent Signature Date (Revised 9/23/2016)