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ELECTRICAL PERMIT APPLICATION <br /> ,.. . .. _.: <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32Q0 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everetfinra.gov/permits <br /> _ � �. : _ <br /> _ �RRifJ4C'C',$1'�'E;if+�F���1Tl�i�t.... . ,. ::. <br /> PROJECTADDRESS: 7 Fe�� RCI Utlit B, Everett, WA 98203 <br /> _ . .._._ . <br /> BUILDING AREA if residential,new construction,remodel,or addition) SF <br /> _ _ _ <br /> 8UlLDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS� ❑COMMERCIAI <br /> �sE oF eui��iNc: Residential ' <br /> _ _ _ _ _ _ _ . <br /> __ _ _ __ _ _ <br /> _ <br /> .. 3 3 3 Y�. ��Y�� �.. ��`������s. �'�.����������� <br /> � 3 � <br /> ..�..�•�Cswn�'�i r�.�l�°oq��... .. ..YJ_! ... ..,e:«..-e'.Y^ ... .' . . >.'�cs....u... . � �_ . . .,,� i .. <br /> ... ..... ......... ,...... ........ ........ <br /> ......... ............... .....,,,.. . <br /> CONTRACT PRICE OF WORK: 9200.00 ' <br /> NUMBER OF DEVICES if low vo a e: <br /> FIRE ALARM? ❑YES �M _ <br /> _ __ _ _ _ <br /> SSOCIATED BUILDING PERMIT#, if a licable;: .. <br /> DESCRIPTION OF WORK: Installing_photovoltaic s stem on roof ' <br /> __ __ <br /> _ _ _ <br /> _ __ _ __ <br /> . , <br /> �c+��TacT iN�oRMar�oN _ <br /> t7WNER NAME: Laura Zorlck TENANT NAME If Commercial ; <br /> . �. <br /> OWNER,MAILIMG ADDRESS;_ _srneEr 7 Fe�11 RCJ Unit B <br /> _ _ <br /> _ _ <br /> c,TM Everett gTq� WA 7Jp 98203 <br /> _ _ <br /> _ _ _ <br /> _ _ __ _ <br /> _ _ _ _ <br /> �ER PHONE: (206)300-2404 QWNER..EMAIL: ��Y1Z01'IC��fiaII.COR1 <br /> _ .._..._ _... <br /> �c�T�q�1^�t�NAMe: A and R SOLAR ' <br /> CQNTfdACTQRAUD.RESS: SrRE�3211 Martin Luther King JR Way S, Suite B <br /> _ c�r Seattle _ _ sTATE WA_ _ z�P 98144 ; <br /> __ _ <br /> CONTRACTOR PHONE: 206-707-9937 CONTRACTOR EMAIL: ermits�a-rsolar.com <br /> ����Tt��L.IC. .1R�tUtREC4�: _ CITY OF EVERETT_BUSINESS LIG.�REQuiRe : 053961 <br /> P��tY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) ; <br /> �ONTACT NAME: CONTACT PHONE: 360-621-8238 <br /> Wendy Wenrick CONTACT EMAIL:�g�rpltS�B-fS018�.00111 <br /> AGREEMENT.�1 hereby cerfify thai t have read and examined this application and know the same to be true and correct AA provisions of/aws and ordinances goveming this type <br /> of work wilf tre complefed whether spec�ed herein or nok The granting of a permii does rrot presume to give authority to vio/afe or cancel the provisions of any ofher sEate ar <br /> bcaJ law regulaHng construction or the performance of construdion,:.Thaf I am authorized by the ownerW thls property to perform the work for whtch apptication is made and 1 <br /> compty with the State Contractors Law 18.27 RCW and 298.200 WAG <br /> City of Everett Officiat Use On/y <br /> ....r......��, <br /> _ _ _. _ <br /> __..... . <br /> PERMIT# <br /> __ �1�'i :;� E ��-��- 6�� <br /> �,uqtpnaed Ag�t'� 9igtu�t�t�� Dafe : ; > '. <br /> (Revised 9729/1016) <br />