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Mar 09 16 11:05a Greg Gorsuch 425-487-6005 p.3 <br />• <br />� <br />LECTRICAL PERMIT APPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 i FAX 425-257-8857 �(E) everetteps@everettwa_gov � www.evereitwa.gov/permifs <br />PROJECT SITE INFaRMAT10N <br />PROJECT A�DRESS_ 1415 W Nlukifteo Blvd , <br />BUILDING AREA (if residential, new constructiun, remodel, or addition) g� <br />BUILDfNG TYPE: IJ SFR-DETACHED � SFR-ATTACHED ❑ DUPLEX Q MLfL71-FAMILY -� OF UtJ1TS_ ❑ COMMERCIAL <br />USE OF BUILDING: f�eSldellCL <br />OWNER NAME: Gaif 8� Clarence Case <br />OINNER MAILING ADDf2ESS: sra�T <br />crrv <br />OWNER PHONE: 425-446-0655 <br />CONTACT INFORMATION <br />TENANT NAME <br />14i5 W Mukilteo Bivd <br />Everett <br />OWNER EMAIL: <br />srare WA ziP 98203 <br />cONTRACTOR NAME: Forecast Solar LLC <br />CaNTRACT�R ADDRESS: sraser 23706-C 7th Ave <br />cin' Bothell srA� WA LP 98021 <br />CflN7RACTOR PHONE: 425�87-6D00 CON7RACTOR EMAtL: info@forecastsolar.com <br />CONTRAC70R uC_ #{REQuiRe�): EC FORECRS883DG CITY OF EVERETf BUSINESS LIC_ #(REQUIRED); <br />PRIMARY CONTACT: ❑ pWNER CONTFtACTOR ❑ OTHER (Please SpeCify) <br />GONTACT NAME: CONTACT PHQNE: 425-487-6000 <br />Morgan Zehru�g coNrAczE�pt�: info@forecastsolar.com <br />AGREEMENT• Them.by ca�li�y th�t ! have rea� snd exemi�� �s appl+ca6`on and know the same tp be frue artd cnnsct. Afl <br />type of woAc wiN be comp�eted whether specified heran cY rroL The Protisions of Jaws end ordinances goveming �his <br />focaf !aw regula�ng cbrrsbuctron prihe pe�fonnance o�conshvctiorr_ 9T/uif�m a� oriz� y y� a���W � aufhorify to vro/ate or camcEy ryre p�rsions of any other state or <br />�mWY �^+�m �e State Contractors Law �8.27 RCW and 296.200 WAC. �°��` �O �'��� HTe worN for which appNcation is made and 1 <br />�� �/�7/i� <br />Date <br />Cify of Eve�elt OfTicial Use OnFy <br />FEE <br />�. ���,�� <br />PERMIT # <br />E'i����' � <br />(Revised 1 LVi2f1015) <br />