1914 106TH ST SW 2023-06-14 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION cftt OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT. WA 98201 (P)425.257-Balm I TAX 426-15y-8e91(Et everenapsQeveretlwe. 91v 1 wrvw_erere11wa9wlPe^^ns PROJECT SITE INFORMATION PROJECT ADDRESS: 1914106th St SW Everett, WA 98204 1 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION [e] ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: )]SEE ❑TOWNHOUSE ❑DUPLEX El ADD ❑MULTI-FAMILY-p OF UNITS'. ❑COMMERCIAL ELECTRICAL APPLICATION INFORMATION S DESCRIPTION OF WORK CONTRACT PRICE OF WORKS 8591 AD ASSOCIATED BUILDING PERMIT#IT preschool: NA DESCRIBE SCOPE OF WORK: PV solar root mount installation, 3 circuits, system size: 9.99kW, MPU THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑ VES - Soled Scapa: ❑Service ❑ Feedo 0 Circuih-k:3 ❑ Complete Rawire LOW VOLTAGE WORK? FI NO ❑ YES #of D rvkare: SELECT SCOPE (REQUIRED): ❑ Dale ❑ Intercom ❑ Thermostat ❑ Author ❑ Sector Access ❑ Secunty System ❑ Fire All - Installa4Ms under this permit Rely include electrical wrong mul of Me system. An enrichment Fire Alarm Permit s required for review of device Ipcal and insialtatbn approval. El Other (List All)'. PV I roof mount installation CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH ANDIOR PERSONAL CARE FACILITIES: NO 77YES — See Below 8 Pg.2 By Checking this box, I am stating that I have read and understand all M WAO 2 68.900, selected Me specific reaen an page 2 ZI of this application (see nest page), AND Plan Review is NOT required because I meet all of Me following sub reactions that do Nor See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURIE NO YES -See Below8PB3 Pursuant to RCW 19,28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease RI without the proper electrical licensing and Verification, or exemption. By checking this box. I am stating that I haw completed and See Page slgned the AFFIDAVR On page 3 a this application to Receive an exemption from this liandntpoertification requirement. CONTACT INFORMATION OWNER NAME: Robert Trlchler TENANT BUSINESS NAME (if Commercial): OWNER MAILING ADDRESS 31 1914106th St SW cry Everett STAR WA w98204 OWNER PHONE:425-319-5169 OWNER EMMIL: rwWchler@MMm St.net CONTRACTOR NAME: Solgen Power LLC CONTRACTOR ADDRESS: STREET5715 Bedford St m Pasco them WA a. 99301 CONTRACTOR PHONE: 855-7409-1181 CONTIuc7OR EMAIL: penninitg(038olgenpower.mm RACTOR LIG#REODIREO CONTg SOLGEPL63RJ CITY OF EVERETT BUSINESS I #REQUIREDI: 62231 PRIMARY CONTACT: )]OWNER CONTRACTOR QOTHER(Please Specify) CONTACT NAME: Donnave Flaherty CONTACT PPONE.855-]09-1181 CONTACT EMAIL: a mlmKinglgsolgenpmer.mm AbffLLMLNf reoYronM mamrereraeoav axamreomo gp�.xanm emwmowma.venre mwrrve avammu. rwpowmnxumexa ova warenwaPavmup mn bae or,.w,vla age mmgelea wrgme. apat'Y,MMrein wnd lire penMp NapmmAdoea mrpnawreropreeWnanbrovkNiewuncenmepmHa.ma olmrorlwaefew emllawregule(ngts Corr rim Dome 11827REWwW296eucl W TMrrem.ulMrmo4vmeomwWmle a'WaMroParinmm ma vwklwwnlctt eypcialUle Only of cnmpNwlln me Snare Ccnnecmors 1aw16.2]RCWeM 296.2�WAC. CI of Everett Official Use Only PEFRMIT#: TD_......... io s..L. 11I612022 ` ownirinmhorled Agent aggneteos Data (Rawnan lnV2019) Page lrppliuuan