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• • <br /> 4err ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES C— )b0 a ") <br /> 3200 CEDAR STREET, EVERETT, WA 98201 a a \to <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov I www.everettwagov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1618 Cedar St Everett WA 98201 <br /> BUILDING AREA(if residential,new construction.remodel,or addition)Residential SF 1,704 ($Io0yti.t ghtc <br /> BUILDING TYPE: ( SFR-DETACHED D SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING:Home Ate.viderttie. <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 151 G1pty <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES Q NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installing a 5.6kW PV system on roof. <br /> CONTACT INFORMATION <br /> OWNER NAME: Mary Jane&Tony Doleatti TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET Same as above <br /> ...... ...._..... ._. ... <br /> CITY STATE Zir <br /> OWNER PHONE:425 879 6551 OWNER EMAIL:amjdoleatti@gmail.com <br /> CONTRACTOR NAME:SolTerra <br /> CONTRACTOR ADDRESS: STREET 2010 1st Ave s. ste 200 ��} <br /> . 0T., SEATTLE STATE W W ziPcual+�{ <br /> CONTRACTOR PHONE:800 865 9005 CONTRACTOR EMAIL:solaradmin@solterra.com <br /> CONTRACTOR LIC.#(REQUIRED):SOLTES'895MR CITY OF EVERETT BUSINESS LIC.#(REOUlRED)( . <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:800 865 9005 <br /> Jade O'Neil CONTACT EMAIL:Solaradmin@solterra.com <br /> AGREEMENT T hereby certify that 1 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 t <br /> comply with the State Contractors Law 113,27 RCW and 2e6.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> n bo <br /> PERMIT# <br /> 0/4 E \ O2.' 10 <br /> erfAuthorized Agent Signature Date (Revised 10/1212015) <br /> I ' <br />