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OLT ELECTRICAL PERMIT API LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT. WA 98201 <br /> (P) 425-257-8810 FAX 425-257-8857 ' (El everetteps @everettwa.gov v^rwrv.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2502 Chestnut Dr Everett, WA <br /> BUILDING AREA:if residential, new construction, remodel. or addition) 1400 SF <br /> BUILDING TYPE: D =R-DETACHED 7 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-=OP UNITS. 0 CD`aMERC AL <br /> USE OF BUILDING: home- single family residence <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: S 3500 <br /> NUMBER OF DEVICES :Jf lo:v voltage): <br /> FIRE ALARM? ® YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if aoo icab'ie): <br /> DESCRIPTION OF WORK: Installation of PV Solar System 4.34kW <br /> CONTACT INFORMATION <br /> OWNER NAME: David Fish TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: ,. 2502 Chestnut Dr <br /> ar. Everett WA __ 98201 <br /> OWNER PHONE: 36-421-8737 OWNER EMAIL: jenni.b@smartenergytoday.net <br /> CONTRACTOR NAME: Smart Energy Today <br /> CONTRACTOR ADDRESS: _ -= 2500 Mottman Rd SW <br /> Tumwater =- -E WA 98201 <br /> CONTRACTOR PHONE: 360-637-4343 CONTRACTOR EMAIL: jenni.b@smartenergytoday.net <br /> CONTRACTOR LIC.# R= SMARTET869RJ CITY OF EVERETT BUSINESS LIC.# P : 052463 <br /> PRIMARY CONTACT: 0L.'.''J=�< EXCONTRACTOR 0 0-I-ER P ease <br /> CONTACT NAME: CONTACT PHONE: 360-637-4343 <br /> Jenni Blankenship CONTACT EMAIL: jenni.b@smartenergytoday.net <br /> AGREEMENT.1 hereby certify that I have read and examined this application and know the same to be true and correct. Ail provisions of laws and ordinances governing this type <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 16.27 RCW and 296.200 WAC <br /> City of Everett Official Use Only <br /> FERi:1:T <br /> OwnerAuthorized Agent Signature Date (Revised 9/3/2016) <br />