3214 56TH ST SW 2019-09-10 - Laserfiche WebLink

EPECTRICAL PERMIT APPLLLLL '11111P/404 -A.- IGATION ►' , - 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3214 56th St SW, Everett,WA BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: iSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SFR ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$2. 2qb NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install 11.8 kW grid-tied, roof-mounted Solar PV system.40- Itek iT-300-SE solar modules. 40-SolarEdge SE-P320-60c optimizers, 1 -SolarEdge SE-10000H-US line inverter, Sunmodo EZ mount racking system. CONTACT INFORMATION OWNER NAME: Thomas Sacco TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3214 56th St SW ciry Everett STATE WA ZIP 98203 OWNER PHONE: 425-350-1963 OWNER EMAIL:t7sacco@yahoo.com CONTRACTOR NAME: Forecast Solar LLC CONTRACTOR ADDRESS: STREET 12820 Avondale Way CITY Everett STATE WA ZIP 98204 CONTRACTOR PHONE: 425-487-6000 CONTRACTOR EMAIL: office@forecastsolar.corn CONTRACTOR LIC.#(REQUIRED): FORECRS883DG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044167 PRIMARY CONTACT: 0 OWNER LCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-487-6000 Will Habenicht CONTACT EMAIL: office@forecastsolar.com AGREEMENT:I hereby certify that I 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 t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# -'2-2 l°rz6/zOfr E 1�(Q Owner/Ahoriz Agent Signature Date (Revised 9/23/2016)