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ELECTRICAL PERMIT APPiATION <br /> I�f y-, CITY OF EVERETT PERMIT SERVICES <br /> vitti3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.govfpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3409 Oakes Ave,Everett,WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 6'MULTI-FAMILY-#OF UNITS: 4 0 COMMERCIAL <br /> USE OF BUILDING: Residence <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 29,328 <br /> NUMBER OF DEVICES(tf low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install 11.8 kW grid-tied,roof-mounted Solar PV system.40-Itek T-295-SE solar modules. <br /> 40-SolarEdge SE-P320-60c optimizers, 1 -SolarEdge SE-10000H-US line inverter, Sunmodo EZ mount <br /> racking system. <br /> CONTACT INFORMATION <br /> OWNER NAME: Steve Chittenden TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: emEET 11011 39th Dr SE <br /> CITY Everett STATE WA zp 98208 <br /> OWNER PHONE: 425-238-9018 OWNER EMAIL: stevechittenden( comcast.net <br /> CONTRACTOR NAME: Forecast Roofing&Solar LLC <br /> CONTRACTOR ADDRESS: STREET 12820 Avondale Way <br /> coy Everett STATE WA rp 98204 <br /> CONTRACTOR PHONE: 425-487-6000 CONTRACTOR EMAIL: info c @forecastsolar.com <br /> CONTRACTOR UC.#(REQUIRED): FORECRS883DG !CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044167 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425487-6000 <br /> Will Habenicht CONTACT EMAIL: info cx forecastsolar.com <br /> AGREEMENT.I hereby certify that t have read and examined this appficatlon and know the same lobe true and correct.Alrprovisions of laws erect onfrizances governing this type <br /> of work will be completed whether*warted herein ornot. The fpenting of a pent*does not presume to gyre authority to violate or provisions of any other state or <br /> local law regulating construcfro a arm performance of construction. That lam authorized by the owner oftilts properly to perform the work for which application Is made and 1 <br /> comply with the State Contractors Law 1&27 RCW and 291200WAG <br /> City of Everett CWCI&Use Only <br /> / PERMIT# <br /> !✓• '' OWo 7fio1 E [3Og--()LF s <br /> Owner! . . Signature Date (Revised 923/2016) <br /> C <br />