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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 5812 10TH DR W EVERETT, WA 98203 <br /> BUILDING AREA(if residential.new construction, remodel.or addition) 1 150 SF <br /> BUILDING TYPE: SFR-DETACHED ❑SFR-AI 'ACHED ❑ DUPLEX El MULTI-FAMILY- OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Single Family Residence <br /> ELECTRICAL APPLICATION INFORMATIONT4L,, <br /> CONTRACT PRICE OF WORK: $ $3500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ER YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: rooftop PV solar array 14 Axitec AC-310MH 1 Solaredge SE5000H-US <br /> CONTACT INFORMATION <br /> OWNER NAME: Gwyneth Ginther TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5812 10th Dr W <br /> Everett STATE WA ,,G 98203 <br /> OWNER PHONE: 425-344-9909 OWNER EMAIL: gwynethginther@gmail.com <br /> CONTRACTOR NAME: Smart Energy Today <br /> CONTRACTOR ADDRESS: STREET 2500 Mottman Rd SW <br /> �CT'' Olympia STATE WA 98512 <br /> CONTRACTOR PHONE: 360-637-4343 CONTRACTOR EMAIL: jenni.b@smartenergytoday.net <br /> CONTRACTOR LIC.#(REQUIRED): SMARTET869RJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052463 <br /> PRIMARY CONTACT: 0 OWNER COCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-637-4343 <br /> Jenni Blankenship CONTACT EMAIL: jenni.b(cr�,smartenergytoday.net <br /> AGREEMENT t 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 <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 f am authorized by the owner of this property to perform the work for which application is made and I <br /> compiy with the State Contractors Law 18.27 RCW and 296.200 WAG <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 5/ /' 10/23/2019 E <br /> O el-Authorized Agent Signature Date <br /> {RevrsecF 9>28y20181 <br />