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• • <br /> ELECTRICAL PERMIT APPLICATION <br /> 4,77. 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: 4426 Riverfron Blvd Everett WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: m SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: Residential <br /> I ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install 7.4kW solar PV system on the roof of a single-family residence. <br /> CONTACT INFORMATION <br /> OWNER NAME: Thi Vu (Mindy) Tran TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 4426 Riverfront Blvd <br /> Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 509-781-4127 OWNER EMAIL: th13744@yahoo.com <br /> CONTRACTOR NAME: SolTerra Global LLC <br /> CONTRACTOR ADDRESS: STREET 2909 First Ave S <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE: 206-462-1103 CONTRACTOR EMAIL: solaradmin©solterra.com <br /> CONTRACTOR LIC.#(REQUIRED): SOLTEGL831 BZ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57821 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-462-1103 <br /> Kathy Sage CONTACT EMAIL: solaradmin@solterra.com <br /> 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 <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 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />