12319 14TH DR SE 2017-05-30 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 12319 14th Dr SE BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED IZI SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL [USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 13562 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installing a 7.2kW Photovoltaic System On the roof CONTACT INFORMATION OWNER NAME: Dave Caldwell TENANT NAME(if Commercial): OWNER MAILING ADDRESS: sTREET 12319 14th DR. SE c,, Everett STATE WA zip 98208 OWNER PHONE; 425-985-1135 OWNER EMAIL: david.Caldweli@pSe.Com CONTRACTOR NAME: A and R SOLAR CONTRACTOR ADDRESS: STREET 3211 Martin Luther King JR Way S, c,T,, Seattle STATE WA zip 98144 CONTRACTOR PHONE: 206-707-9937 CONTRACTOR EMAIL: permltS@a-rSOlar.com CONTRACTOR LIC.#(REQUIRED): RSOLAS*903JM CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053961 PRIMARY CONTACT: ❑OWNER IZ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-310-0260 Jesse Anderson ICONTACT EMAIL: permits@a-rSolar.COm 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 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# E �-A-t4 6 OwnerlAuthorized Agent Signature Date (Revised 92312016)