1011 TEMPLE DR 2019-04-17 - Laserfiche WebLink

4r6-7r ECTRICAL PERMIT APPLICATI N 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:1011 Temple Dr BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: f SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING:SFR ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 23,770 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install 9.72 kW grid-tied, roof-mounted Solar PV system. 27 - Itek iT-360-SE solar modules. 27 - SolarEdge SE-P370-72c optimizers, 1 -SolarEdge SE-7600H-US line inverter, Sunmodo EZ mow iI idt;Illriy -VCby tert1. EN 7,00 ak-IAA? CONTACT INFORMATION OWNER NAME: Thomas & Jeanne Crisp TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1011 Temple Dr CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-737-0350 OWNER EMAIL:tom Cacrisp4.Com CONTRACTOR NAME: Forecast Solar • CONTRACTOR ADDRESS: STREET 12820 Avondale Way CITY Everett STATE WA ZIP 98204 CONTRACTOR PHONE: 425-487-6000 CONTRACTOR EMAIL: office@forecastsolar.com CONTRACTOR LIC.#(REQUIRED): FORECRS883DG�/ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044167 PRIMARY CONTACT: ❑OWNER bd CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: `n ill Habenicht CONTACT PHONE:425-487-6000 V V it CONTACT EMAIL: office@forecastsolar.com AGREEMENT:I 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! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/A orized ent Signature Date (Revised 9123/2016)