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PLECTRICAL 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: 5324 College Avenue, Everett, WA 98203 <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: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ $2,000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Installing 6.0 kW PV system on rooftop. <br /> CONTACT INFORMATION <br /> OWNER NAME: Ruben Sanchez TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5324 College Avenue <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-923-0706 OWNER EMAIL: eoow1061 @frontier.com <br /> CONTRACTOR NAME: NW Wind & Solar <br /> CONTRACTOR ADDRESS: sTREET 828 Poplar Place South <br /> CITY Seattle STATE WA ZIP 98144 <br /> CONTRACTOR PHONE: 206-391-2603 CONTRACTOR EMAIL: consueloc@nwwindandsolar.com <br /> CONTRACTOR LIC.#(REQUIRED): SMEINS'066D6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED)> 030205 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-391-2603 <br /> Dickson Harding, Project Manager CONTACT EMAIL:consueloc@nwwindandsolar.com <br /> AGREEMENT:t hereby certify that i have read and examined this application and know the same to be true and correct. All provisions of taws 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 at any other state or <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E �qd, - 01 <br /> Owf4 Au iZ d en rta re Date (Revised 9/23/2016) <br />