8016 BEVERLY BLVD 2017-06-20 - Laserfiche WebLink

4V 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: 8016 Beverly Blvd BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: lJ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL [USE OF BUILDING: Residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 36,813.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: rooftop photovoltaic system. CONTACT INFORMATION OWNER NAME: Robert Pierre TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8016 Beverly Blvd CITY Everett STATE wa ziP 98203 OWNER PHONE: 206-767-9999 OWNER EMAIL: pierredakota@gmaiI.com CONTRACTOR NAME: sunergy systemse CONTRACTOR ADDRESS: STREET 4546 Leary Way Nw CITY Seattle STATE wa ZIP 98107 CONTRACTOR PHONE: 206-297-0086 CONTRACTOR EMAIL: jonl@sunergysystems.com '/ CONTRACTOR LIC.#(REQUIRED): sunersi905d4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0 �f PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-571-4726 16- Jon Lange CONTACT EMAIL: jonl@sunergysystems.com 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 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 FEE PERMIT# 413/17 E OwnerlAuthori d Age Signature Date (Revised 10/12/2015)