1928 WETMORE AVE 2017-09-25 - Laserfiche WebLink

0 ! 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: 1928 Wetmore Ave, Everett, WA 98201 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED m SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 9500.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installing photovoltaic system on roof CONTACT INFORMATION OWNER NAME: Todd Pullman TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1928 Wetmore Ave ,I Everett STATE. WA Zip 98201 OWNER PHONE: (206) 949-4513 OWNER EMAIL: toddpullman@hotmail.Com CONTRACTOR NAME: A and R SOLAR SPC CONTRACTOR ADDRESS: STREET 3211 Martin Luther King JR Way S, Suite B ciT, Seattle STATE WA Zip 98144 CONTRACTOR PHONE: 206-707-9937 CONTRACTOR EMAIL: permltS@a-rSolar.Com CONTRACTOR LIC.#(REQUIRED): RSOLAS"903JM ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053961 PRIMARY CONTACT: ❑OWNER IZ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-621-8238 Wendy Wenrick CONTACT EMAIL: permlt5@a-rsolar.Com AGREEMENT.I hereby certify that/have read and examined this application and know the same to be true and correct. Ali 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 16.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# owner/Authorized Agent Signature Date (Revised 9123/2016)