12319 14TH DR SE 2019-06-05 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 12319 14th Dr SE BUILDING AREA lir residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ID SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS.„„ 0 COMMERCIAL USE OF BUILDING: Residential 'ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORISi 9,833.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YE$ ®N ASSOCIATED BUILDING PERMIT#(if applicable). DESCRIPTION OF WORK: Installing photovoltaic system on roof CONTACT INFORMATION OWNER NAME: Dave Caldwell TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTRFFT 12319 14th DR. SE cTY Everett STA1E WA ZIP 98208 OWNER PHONE: 425-985-1135 OWNER EMAIL: david.caldweil@pse,corn CONTRACTOR NAME: A and R SOLAR CONTRACTOR ADDRESS: STREET 3211 Martin Luther King JR Way S. cnv Seattle STATE WA ZIP 98144 CONTRACTOR PHONE: 206-707-9937 'CONTRACTOR EMAIL: permits©a-rSOIar.corn _ CONTRACTOR LIC.#1REcwlHEDj: CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053961 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-621-8238 Wendy Wenrick CONTACT EMAIL: permits@a-rsolar.com AGREEMENT t hereby certify that 1 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 1 am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296 200 WAC. City of Everett Official Use Only PERMIT# 'jtoilfirt ./112:1i� E 146'7 - 2D Owner/Authorized Agent Signature Date (Revised 9/23/2016)