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* ` ' ,�' ✓,�-� <br /> EIPECTRICAL PERMIT AP•ICATION <br /> hammiiir, y- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION,` <br /> PROJECT ADDRESS: 1708 Wetmore Ave <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF <br /> BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ , e LI b,.N <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 5.49 kW grid tied solar system <br /> CONTACT INFORMATION <br /> OWNER NAME: Susannah Banfield TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: <br /> STREET <br /> 1708 Wetmore Ave <br /> Everett WA 98201 <br /> CITY STATE ZIP <br /> OWNER PHONE: 425-299-5660 OWNER EMAIL:flyinmywine@msn.com <br /> CONTRACTOR NAME: Blossom Solar LLC <br /> CONTRACTOR ADDRESS: STREET 1706 Lombard Ave <br /> CITY Everett STATE WA ZIP <br /> CONTRACTOR PHONE: 425-330-4322 CONTRACTOR EMAIL: COIe@bIOSSomSOIar.COm <br /> CONTRACTOR LIC.#(REQUIRED): BLOSSSL823M7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57621 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-330-4322 <br /> Cole Anderson CONTACT EMAIL:cole@blossomsolar.com <br /> 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 6( (j /°/A0 El (6I b 226' <br /> 0. <br /> Owner/Authorized 9 <br /> Agent i nature Date (Revised 9123/2016) <br /> 9 <br />