3911 NASSAU ST 2018-06-08 - Laserfiche WebLink

Lit ECTRICAL PERMIT APPIICATION I�►� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3911 Nassau St.Everett WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Single Family Residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 30, 000 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 40-Itek 300W modules, 1 -SE 10000-US Line inverter,40-SE-P320-60c optimizers, S-5 metal roof mounted. CONTACT INFORMATION OWNER NAME: Sarah Kathryn Beck TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3911 Nassau St. CITY STATE STATE WA ZIP 98201 OWNER PHONE: (360)259-7506 OWNER EMAIL: snowgosling@gmaii.com CONTRACTOR NAME: Forecast Solar CONTRACTOR ADDRESS: STREET 12820 Avondale Way cm, Everett STATE WA ZIP 98204 CONTRACTOR PHONE: (425)487-6000 CONTRACTOR EMAIL: morgan@forecastsolar.com CONTRACTOR LIC.#(REQUIRED): FORECRS883DG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0/414 1 W� PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)487-6000 Morgan Zehrung CONTACT EMAIL:morgan@forecastsolar.com AGREEMENT:I hereby certify that I have mad and examined this application and know the same to be true and correct All 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 properly to perform the work for which application is made and I comply with the State Contractors Law 1.8.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# //d1/12,4:Z 4-1 c Z� �� E1. 09 —o5j OwnerlAgent Signature Date (Revised 9/23/2016)