5209 NARBECK AVE 2017-07-12 - 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: 5209 Narbeck Ave Everett, WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition) ______SF BUILDING TYPE: C(SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: _ ❑COMMERCIAL [.USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 30,000.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? O YES VNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Roof Mounted PV System 9.86kW �- 34- Itek 290w Mod CONTACT INFORMATION ffOWNER NAIi�E: Tom Berkley TENANT NAME(If Commercial): MAILING ADDRESS: STREET 5209 Narbeck Ave CITY Everett STATE WA ZIP OWNER PHONE: I— EMAIL: 98203 CONTRACTOR NAME:Forecast Solar LLC CONTRACTOR ADDRESS: STREET 4463 Russell Rd Suite 105 ciTv Mukilteo STATE WA zip 98275 CONTRACTOR PHONE: 425-487-6000 CONTRACTOR EMAIL:info forecastsolaccom CONTRACTOR LIC.#(REQUIRED):FORECRS883DG CITY OF EVERETT BUSINESS LIC.#(REQUIRED044167 PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-487-6000 Morgan Zehrung CONTACT EMAIL:info@forecastsolar.com AGREEMENT:Thereby 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 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 orthe performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Orly FEE S6 PERMIT#E Mor9aw zeGc�tcr'f� 11/14/2016 W` Owner/Authorized Agent Signature Date (Revised 10/92/2095)