5002 9TH AVE W 2019-05-23 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION -4101mtiwi, 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 ..„ .„-4,-- 4...A , PR .IET S11'E INF€ri u TION--. _ .. .... . PROJECT ADDRESS: 5002 9th Ave W, Everett, WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SER-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: Residential fi•,„.,..,,. .u 2 ICAL AP L INFORMATION CONTRACT PRICE OF WO :$ 14,642.67 NUMBER OF DEVICES(if low voltage); FIRE ALARM? ❑YES 0 'O ASSOCIATED BUILDING PER applicable). DESCRIPTION OF WORK: Installing photovoltaic system on roof t I CONTACT INFORMATION OWNER NAME: Don Cowdrey TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5002 9th Ave W c,T,, Everett STATE WA zip 982023 OWNER PHONE: (206)300-6903 OWNER EMAIL:,dgC wdreyegmaii.COm CONTRACTOR NAME: A and R SOLAR CONTRACTOR ADDRESS: STREET 3211 Martin Luther King Jr Way S. CITY Seattle STATE WA zip 98144 CONTRACTOR PHONE: 206-707-9937 'CONTRACTOR EMAIL. permits@a-rsolar.Com r CONTRACTOR LIC. (REQUIRED) RSOLAS*903JM CITY OF EVERETT BUSINESS LIC.#(REQUIRE' . °53961 PRIMARY CONTACT: ❑OWNER ' Vi CONTRACTOR 0 OTHER(Please Specify), CONTACT NAME: CONTACT PHONE: 360-621-8238 Wendy Wenrick CONTACT EMAIL:permits@a-rsoIar.com 'AGREEMENT:!hereby certify that!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!am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors taw 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# i\t„.. 1 11P (e2,,bV:1''m E `3 J Owtltathlirheeed Agent Signature Date (Revised 9/23/2018)