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� <br />�- <br />� <br />�ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PRCiJECT' SITE'iNFORMATlQN <br />PR(�JECiE1DDRESS: 2822 LARLIN DR, EVERETT, WA 98203 <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILUING TYPE: � SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF �UILDING: RES IDENTIAL <br />' ELECTRICAC ARP�,IC�ITICTN�� INFCy►RMAT`tt1N '�� <br />GONTRACT PRI�E OF WORK: $ 3 2, 8 8 5. 6 3 <br />NUMBER OF DEVICES if low volta e: <br />FIRE ALARM? ❑ YES � NO <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />DESCRIPTIOfd OF WORK: 9. 28KW PV SYSTEM ON ROOF GENERATOR MANUAL TRANSFER SWITCH <br />INTERLOCK KIT & PLUG <br />CONTACT INF�RMATIDN <br />OWNER NAME: BENJAMIN YOUNG TENANT NAME If Commercial): <br />OWNER MAILING ADDRESS: srREeT SAME AS ABOVE <br />CITY STATE ZIP <br />OWNER PHONE: 206 . 715 . 1124 OWNER EMAIL: SOri11 39 . wa@ mail . com <br />CONTRACTOR NAME: SME INC OF SEATTLE DBA NW WIND & SOLAR <br />CONTRACTOR ADDRESS: sTReeT 8 2 8 POPLAR PL S <br />ciN SEATTLE STATE WA z,P 98144 <br />CONTRACTOR PHONE: 2 0 6- 3 91- 2 6 0 3 CONTRACTOR EMAIL: D I CKSONH@NWW INDANDSOL;?�R . COM <br />CONTRACTOR LIC. #(REQUIRED): SMEINS* 066DB CITY OF EVERETT BUSINESS LIC. #(REQUIF;ED): 03 02 05 <br />PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 2 0 6- 3 91- 2 6 0 3 <br />DICKSON HARDING CONTACT EMAIL: DICKSONH@NWWINDANDSOLAR. COM <br />AGREEMENT. T 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 1 am authorized by the owner of this property to perform the work for which application is made and 1 <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />uthorized Agent Signature Date <br />City of Everett Official Use Only <br />FEE <br />SO . � �� <br />PERMIT # <br />E ��0� � �`� <br />(Revised 1 U/12/2015) <br />