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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.gov <br /> 7210 Highland Dr Everett, Washington 98203 <br /> PROJECT ADDRESS <br /> Donald&Frances Forsythe 7210 Highland Dr Everett WA/98203 (425)267-0820 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Smart Energy Today 1001 Cooper Point Rd SW Ste. 140-290 Olympia WA/98502 (360)339-6660 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> SMARTET869RJ 052463 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Residential Solar Generation <br /> Proposed Use of Building Contract Price of Work <br /> 2,195 <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Installation of residential rooftop pv solar system 8.26kW with micro-inverters containing <br /> automatic rapid shutdown. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 \a 1^ (93 <br /> I hereby certify that I have read and examined this application and know the same to be true and VV�� <br /> correct. All provisions of laws and ordinances governing this type of work will be completed - <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the E ��'�� <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> A ' 1,u4.11 st-t_e( <br /> i9 nature Date <br /> REVISED 08/06/2014 <br />