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� � <br /> ELECTRICAL PERIVI�T APPL�CA►TION <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> QROJECT ADDRESS: 21 1 Capfl PIaC2, Everett, WA 98203 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> �UILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDINGc <br /> ' ELECTRICAL APPLICATlON INFORMATION <br /> CONTRACT PRICE OF WORK: $ �2,000 <br /> NUMBER QF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installing a 200-amp panel change to support our 9�9 kW PV install, for which we <br /> already have existing permits B1707-058 and E1707-203. <br /> CONTACT tNFORMATION <br /> OWNER NAME: Paula Townsell/Christopher Glans TENANT NAME(If Commerclal): <br /> ' OWNER MAILING ADDRESS: sraeer 211 Capri Place <br /> ' �in, Everett srnre WA ZiP 98203 <br /> OWNER PHONE: 425 290-7529 OWNER EMAIL: potownsell@gmail.com <br /> ' CONTRACTOR NAME: NW Wind & Solar(A DIVISION OF SME, INC. OF SEATTLE) <br /> CONTRACTOR ADDRESS: srReer$28 POplBr PIaCe SOUth <br /> �in, Seattle srnre WA ziP 98144 <br /> CONTRACTOR PHONE: 206-391-2603 CONTRACTOR EMAIL: COnSUeIOC@nWWlndandS0laY.COm <br /> ', CClttl'fRA�7Qi2 LIC.#(REQUIREDL• SMEINS"066DB CITY OF EVERETT BUSINESS LIC.#(REqUIRED): 030205 <br /> ', PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> ', CONTACT NAME: CONt"ACT PHONE: 206-391-2603 <br /> ' Dickson Harding, Project Manager GQNTACT EMAIL:consueloC@nwwindandsolar.com <br /> AGREEMENT.•!hereby certify that/have read anv exammed this application and know the same to be fiue and correct. All provisions of laws and ordinances goveminy this rype <br /> af work wil!be completed whether specified herein or not The granting of a permif does not presume fo give aulhority to vio/ate or cancel the provisions of any other state or <br /> local taw regu/aling consiruction or the performance of construction. That I am authorized by the owner of ihis property to pertorm the work for which appticafion is made and I <br /> comply wifh fhe State Contractors Law 18 27 RCW and 296 200 WAC <br /> City of Everet[Offic�al Use Only <br /> ,, PERMIT# <br /> .,.'' ���-`����i,_..""..-.-n-> ' .�' 08/17/17 E l�� — l�� <br /> c � <br /> OwnetlAtt ized Agtrtt2 Signature Date (Revised 9/23/20i6) <br /> s' <br /> s' <br />