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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.gov <br />604 Warren Ave, Everett, WA 98201 <br />PROJECT ADDRESS <br />John Mostrom & Cathy Woods 604 Warren Ave Everett WA / 98201 206-355-0896 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Smart Enerqy Todav INC 1001 Cooper Pt Rd SW Ste.140-290 Olymr�ia WA / 98502 360-339-7594 <br />Electrical Contractor Mail Address City State/Zip Phone <br />SMARTET870BS <br />State License Number (required) <br />PV Solar Install <br />Proposed Use of Building <br />Square I�ootage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: Installation of PV Solar <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />n��a�� <br />City of Everett Business License Number (required) <br />$4960 <br />Contract Price of Work <br />Ryan Fieldsend / 360-339-7594 / ryan.f@smartenergytoday.net <br />Contact Person/Contact Number/Email <br />on a Residential Roofto <br />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permif does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />perform�nce of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />REVISED 08,�06/2014 <br />FEE <br />�� o� <br />PERMIT# <br />E �5�1-���� <br />