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P <br /> ECTRICAL PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (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: 2721 Wetmore Ave, Everett, WA 98201 BUILDING AREA: NA sq ft <br /> PROJECT TYPE: El NEW CONSTRUCTION 0 ADDITION ❑TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑Te f NHO E ❑ DUPLEX El ADU ✓❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> ELECTr4 APP;(CATION INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK. . $39,457 / ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WO-K: <br /> Installing solar PV syste • a rooftop. <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑✓ Feeder ❑ Circuits-#: ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices: <br /> SELECT SCOPE(REQUIRED) ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑ Secure Access ❑ Security System <br /> ❑ Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> ❑✓ Other(List All):solar PV <br /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑YES--See Below&Pg. 2 <br /> By checking this box, I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ONO EYES-See Below&Pg. 3 <br /> Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease <br /> without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and <br /> See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT INFORMATION <br /> OWNER NAME: North County Properties, LLC TENANT BUSINESS NAME(If Commercial): Marquee Apartments <br /> OWNER MAILING ADDRESS: STREET PO Box 5267 <br /> CITY Everett STATE WA Zip 98206-5267 <br /> OWNER PHONE:(425) 252-5400 OWNER EMAIL:Andrew.skotdal@skotdal.com <br /> CONTRACTOR NAME: A AND R SOLAR SPC dba A&R Solar <br /> CONTRACTOR ADDRESS: STREET 3211 MLK Jr Way S, Suite B <br /> CITY Seattle STATE WA ZIP 98144 <br /> CONTRACTOR PHONE: (206) 707-9937 CONTRACTOR EMAIL:permits@a-rsolar.com <br /> CONTRACTOR LIC.#(REQUIRED):RSOLAS*903JM, RSOLAS"825P9 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053961 <br /> PRIMARY CONTACT: CI OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (206) 707-9937 <br /> Alicia Shapiro -A&R Solar CONTACT EMAIL: permits@a-rsolar.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 <br /> type 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. City of Everett Official Use Only <br /> PERMIT#: <br /> 9/29/2020 E 2ø\ 0 - b R <br /> Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application <br />