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ELECTRICAL PERMIT APPLICATION <br /> -;` CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION ' ,. ..., <br /> PROJECT ADDRESS: 226 96th PI SE Everett, WA 98208 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)_ .SF <br /> BUILDING TYPE: 0 SFR-DETACHED m SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residential <br /> . ., ELECTRICAL APPLI ATI.a. FORMATION „ ,,, ,. , <br /> CONTRACT PRICE OF WORK (-)1.. q 9 (0 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? .. ❑YES ®NO <br /> ;ASSOCIATED BUILDING PERMIT#.(if.applicable); <br /> DESCRIPTION OF WORK: Installing photovoltaic system on roof <br /> CONTACT INFORMATION <br /> •WNER NAME:Steve Sturm TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 226 96th PI SE <br /> ciN Everett STATE WA .R 98208 <br /> OWNER PHONE: (425) 308-1809 <br /> QWNER EMAIL:sturm.steve5913 .corn <br /> CONTRACTOR NAME: A and R SOLAR <br /> ONTRACTORADDRESS: STREET 3211 Martin Luther King Jr Way S,; <br /> CITY Seattle STATE WA zip 98144 <br /> CONTRACTOR PHONE 206-707-9937 CONTRACTOR EMAIL a permits <br /> ' @ -rsolar.com <br /> ONTRAOT`'OR LIC.: ,(.EOUIRED): RSOLAS*903JM CITY OF EVERETT BUSINESS LIC.#(REQUi ED): 053961 <br /> MARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> ONTACT NAME: CONTACT PHONE: 360-621-8238 <br /> Wendy Wenrick 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 state 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! <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 <br /> riAuthorked Agent Signature bate (Revised 9/23/2016) <br />