4918 23RD AVE W 2020-05-18 - Laserfiche WebLink

/1111°.471. '-1-.4 ECTRICAL PERMIT APPLICATION N4 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4918 23rd Ave W,Everett,WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULT1-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SFR ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ /71000. od 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. on/+eClc l ti S.., a. 1,;ie-5..'04 Ar CONTACT INFORMATION OWNER NAME: Paul&Alison Vijgent TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4918 23rd Ave W crnr Everett STATE WA zp 98203 OWNER PHONE: 206-941-4867 OWNER EMAIL: vijgens@frontier.com frontier.com CONTRACTOR NAME: Forecast Solar LLC CONTRACTOR ADDRESS: smEEr 12820 Avondale Way CRY Everett STATE WA zP 98204 CONTRACTOR PHONE: 425-487-6000 CONTRACTOR EMAIL: office@forecastsolar.com CONTRACTOR UC.#(REQUIRED): FORECRS883DG !CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044167 PRIMARY CONTACT: 0 OWNER ErCONTRACTOR 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 mad and examined this implication and know the same to be true and correct AH provisions of laws and on inances governing this type of work will be completed whether specified herein or not The grantingofa pemmit does not ptomain to Ove authority to violate or caneithe provisions of any other state or local law regulating construction orthe performance orconstrucban. That I am authorized by the ownercf this property to perform the work for which application is made and I comply with the State Contractors Law 1&27RCW and 296200 WAG City of Everett Official Use Only / PERMIT# W' /0//0/2 o/g. E t5( 0 -O-7 3 Owner/ Signature Date (Revised 9/232016) //Z_