1827 126TH ST SE 2023-06-15 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION EVERETT 3200 00 OF EVERETT PERMIT SERVICES CEDAR STREET EVERETT WA 95201 WASHINGTON (P)42&1ACS1n 1 FAX 425-157-8157 1 IN evereXeps@evereXwagw 1 wwrvsvereTwo gw/permXs PROJECT SITE INFORMATION PRaecT ADDRESS: 1827 1261h St SE, Everett WA 98208 BUILDINGAREA: s r I PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT 0 REMODEL Solar Roof Mounted PV System BUILDING USE: W1 SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADO ❑ MULTI-FAMILY-NOF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION S DESCRIPTION OF WORK CONTRACT PRICE OF WORK: S 65509.90 ASSOCIATED BUILDING PERMIT 0(if applicable): DESCRIBE SCOPE OF WORK: Installation of roof mounted 10.00 kW DC solar Photo -Voltaic generation system Prescriptive THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO © YES - Seled Scope: ❑ Senice © Feader © Circuill3 ❑ Complete Rewire LOW VOLTAGE WORK? [Z NO ❑ YES- #of Devices: SELECT SCOPE (REQUIRED) El Dale ❑ Intercom ❑ Tbxmwbt ❑ Audio ❑ Secure Access ❑ Security System ❑ Fire Nam - Installa0ms under Mls permit mly include electoral wlring mugFln ofMe system. An arMHbnal Fire Nam Permit is required far review adevice locetion and Installation approval. ❑ Other (List All)'. CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH ANDIOR PERSONAL CARE FACILITIES: ✓ NO Ll YES — See Below 8 Pg.2 ❑ By cbecking this box, I am strong that I have read and unde¢tand all M WAO 296,1619-900, selMed the specMc reason an page 2 of this application (see next page). AND Plan Review is NOT required because I meet all of Me following sub sections that do not sae Pege 2 requirePlan Review. ARE YOU M OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: NO YES-Ses Below 8Pg.3 ❑ Pursuant W RCW 19,28.261, propeM ovine, and leaseholders cannot perform elechieal work on buildings for rent sale, or lease without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and See Page signed the AFFIDAVIT On page 3 a this appllcaffon to receive an exemption from this licensimoenioWfion requirement. CONTACT INFORMATION OWNER NAME: Fabian Angobung TENANT BUSINESS NAME If Commercial: OWNER MAILING ADDRESS STREET 6407 NE 117lh Ave Unit m Vancouver STATTEWA :„ 98642 OWNER PHONE: 800 908 8992 end 222 OWNER EMAIL: f9ngobungQmynatlo0Wl0esolanoorn CONTRACTOR NAME: Nationwide Soler CONTRACTOR ADDRESS STREET6407 NE 117th Ave Unit B m Vancouver STATTE WA :I, 96642 CONTRACTOR PHONE: 800 908 992 x 222 CONTMCTOR EMAIL famgnbung@nrynetiemwkletolaroom LONTMCTOR LIL.pflEOVIREO: NAT10S9ERFEW CITY OF EVERETT BUSINESS LIC.#flEQVIREO 60G]80695/64489 PRIMARY CONTACT: EOWNIER EICONTRACTOR ©OTHER(Shamir Specify) anomvae solar. Perms Technics, CONTACT NAME: t� (t (� Fabian Angobung CONTACT PHONE: 800 908 8992 end 222 CONTACT EMAIL:Fngebung@mymfiomldesolar.COm AbMi reoY ro,rrYmRrrere nw vu arurvmumv gpm'am,srw u„wmeaenre caw nw avmnea. av p,wsmvdrexa avrvdrenwxrpnrmgmn rvp•orwwx w;aammMredwneme.wmTiedneml, w,d zriag.,cocadePwm#do.:mryewmwrogmewmnbrovudewumrelme Prowa.o,sor.,yornersarow commTire Scale d/a,a.meM-27 az.W296200 m.TTrerr.m.wrontaonvmeomme.wmm PraPwbropwmrm me wwxroc wrrwr.pAvicexm l.mw.adl oeT,dr Nam Tire were cmweorwa Law to zT acwam zsfi.zda coat. el mEwmn pllaNl see and A PEFRMIT #: ownenTmnontta A9emslenNure Dale (Revved I"ISI)g) Page f-Apphgtion