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E CTRICAL PERMIT APPLE ATION <br /> , CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 j (E)everetteps©everettwa.gov j www.evereftwa.gov/perm its <br /> PROJECT SITE FORMATION :3 <br /> PROJECT ADDRESS: 615 Colby Ave,Everett,WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: E ISFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: SFR <br /> ELECTRICAL APPLICATION TION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 24,086 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install 9 kW grid-tied,roof-mounted Solar PV system.30-Itek iT 300-SE solar modules. <br /> 30-SolarEdge SE-P320-60c optimizers, 1 SolarEdge SE-7600H-US HD line inverter,Sunrnodo EZ mount <br /> racking system. <br /> CONTACT INFORMATION <br /> OWNER NAME: Jim&Judy Kutz TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: s7REEr 615 Colby Ave <br /> amr Everett STATE WA w 98201 <br /> OWNER PHONE: 360-503-9845 OWNER ESL: j.a.kutz©gmail.com <br /> CONTRACTOR NAME: Forecast Roofing&Solar LLC <br /> CONTRACTOR ADDRESS: MEET 12820 Avondale Way <br /> cm Everett STATE WA zip 98204 <br /> CONTRACTOR PHONE: (425)487-6000 CONTRACTOR EMAIL: info@forecastsolar.com <br /> CONTRACTOR UC.*REQUIRED): FORECRS883DG tCITY OF EVERETT BUSINESS LC.*REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 6 'CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425)457-6004 <br /> Will Habenicht CONTACT EMAIL: info c{,' forecastsolar.cotn <br /> AGREEMENT:I6y cythatl have mad and ermined this. d know the same to be hue and correct Alprovfs ons olaws and adinances gmeming OMs type <br /> of tormIcka6tre co ieted whetherspeciledhersin or The manringot'apew*does motpavane tofive auttroedyto violate or cancel theprnvi.*ns of any other any other Mate or <br /> brat law regulating construction orthe pinfomnarce ofconstnrction l ern authorized by the ovmer ofthis property to pei*lnn the work kr which torr is made and I <br /> oomph/w#h the State Contractors Law 18.27 RCWand 296.200 WAG <br /> City ofEverett Offidel Use Only <br /> PERMIT# <br /> Owner/ A $l9 Date (Revised 9/23/2016) <br />