4813 DOGWOOD DR 2019-02-05 - Laserfiche WebLink

014' R.ECTRICAL PERMIT AI LI ATI N C O 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: 4813 Dogwood Dr Everett,WA 98203 BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL.APPLICATION.INFORMATION CONTRACT PRICE OF WORK:$ $18,429.60 -17 1 6,dap,6 0 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 6.0 kW grid tied solar system CONTACT INFORMATION OWNER NAME: Andy Sorgen TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4813 Dogwood Ave CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425) 210-1490 OWNER EMAIL: Billsforas@gmail.Com CONTRACTOR NAME: Blossom Solar LLC CONTRACTOR ADDRESS: STREET 1706 Lombard Ave CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE: 425-330-4322 CONTRACTOR EMAIL: Info@blossomsolar.com CONTRACTOR LIC.#(REQUIRED): BLOSSSL823M7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57621 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-330-4322 Cole Anderson CONTACT EMAIL: Info@blOSSOmSolar.COm AGREEMENT.l 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 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 property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only �1 E PERMIT #D 02_`1 Owner/Authorized Agent Signature ate (Revised 9/23/2016)