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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.gov <br /> 4625 Seahurst Ave Everett, WA 98203 <br /> PROJECT ADDRESS <br /> Donette Rotta 4625 Seahurst Ave Everett WA / 98203 206-432-2914 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Smart Energy Today 1001 Cooper Pt Rd SW Ste 140-290 Olympia, WA 98502 (360) 339-6660 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> SMARTET870BS 052463 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 3,500 <br /> Proposed Use of Building Contract Price of Work <br /> Kieran Yon/(360)339-6660/Kieran.y@smartenergytoday.net <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 24 <br /> Number of devices(If low voltage) <br /> Description of work to Be Done: PV Solar System Installation On A Residential Rooftop <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 4 <br /> I hereby certify that I have read and examined this application and know the same to be true and (/ <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the \ <br /> performance of construction. That I am authorized by the owner of this property to perform the E <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Signature f Dat <br /> REVISED 06/06/2014 <br />