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01477- ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1306 W Mukilteo Blvd Everett,WA 98203 <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: G'SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residential <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 3500 <br /> NUMBER OF DEVICES(if low voltage): 1 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> 11.80 kW PV Solar Array with iTek IT295SE solar panels-40 count <br /> Solar Edge SE 10000H-US inverter <br /> CONTACT INFORMATION <br /> OWNER NAME: Gary MacDonald TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1306 W Mukilteo Blvd <br /> carr Everett STATE WA ziP 98203 <br /> OWNER PHONE: 425-750-7950 OWNER EMAIL: bigmac49@comcast.com <br /> CONTRACTOR NAME: Smart Energy Today <br /> CONTRACTOR ADDRESS: STREET 1001 Cooper Point Rd SW Suite 140-290 <br /> or( Olympia STATE WA ZIP 98502 <br /> CONTRACTOR PHONE: 360-637-4343 CONTRACTOR EMAIL: jenni.b@smartenergytoday.net <br /> CONTRACTOR LIC.#(REQUIRED): SMARTET869RJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052463 <br /> PRIMARY CONTACT: 0 OWNER 4z1 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-637-4343 <br /> Jenni Blankenship CONTACT EMAIL: jenni.b@smartenergytoday.net <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 /> y <br /> PERMIT# <br /> y to -3,Q°i e V E Y .0 — ® ?4" <br /> Jr/Authorized A9ignature Date (Revised 9/23/2016) <br />