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0 • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa,gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3420 Bell Ave, Everett, WA 98201 <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: Residential <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 17,516.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ®NO <br /> ASSOCIATED BUILDING PERMIT# if a livable : <br /> DESCRIPTION OF WORK: Installing photovoltaic system on roof <br /> CONTACT INFORMATION <br /> OWNER NAME: Jon Elnarsen TENANT NAME If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3420 Bell Ave <br /> c:,T, Everett SATE WA c,p 98201 <br /> OWNER PHONE: (425)478-6240 OWNER EMAIL: )einarsen@zippergeo.COm <br /> CONTRACTOR NAME: A and R SOLAR <br /> CONTRACTOR ADDRESS: STREET 3211 Martin Luther King Jr Way S. <br /> C,Tv SEtattle STATE WA zip 98144 <br /> CONTRACTOR PHONE: 206-707-9937 CONTRACTOR EMAIL: permits@a-rsolar.com <br /> CONTRACTOR LIC.#(REQUIRED): RSOL.AS"903JM CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053961 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-621-8238 <br /> Wendy Wenrlck CONTACT EMAIL: permits@a-rSolar.com <br /> 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 <br /> 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 stale or <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296 200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> A <br /> Q rf uthorized Agent Signature Date (Revised 923/2016) <br />