11925 SILVER LAKE DR 2019-07-08 - Laserfiche WebLink

I ECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 11925 Silver Lake Dr,Everett,WA 98208 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: PiSFR-DETACHED 0 SFR ATTACHED 13 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SFR ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 26,108 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install 1188 kW grid-tied,roof-mounted Solar PV system.33-Itek T 360-SE solar modules. 33-SolarEdge SE-P370-72c optimizers, 1 -SolarEdge SE-10000A-US fine inverter, Sunmodo EZ mount racking system CONTACT INFORMATION OWNER NAME: Tom Isenhart TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11925 Silver Lake Dr cnr Everett _ STATE WA z 98208 OWNER PHONE: (425)210-2624 OWNER I,: tomisenhart@windermere.com CONTRACTOR NAME: Forecast Roofing&Solar LLC CONTRACTOR ADDRESS: STREET 12820 Avondale Way cmr Everett STATE WA aP 98204 CONTRACTOR PHONE: (425)487-6000 CONTRACTOR EMAIL: info@forecastsolar.com CONTRACTOR LIC.#(REQUIRED) FORECRS883DG JCITY OF EVERETT BUSINESS UC.*REQUIRED): PRIMARY CONTACT: 0 OWNER t 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE (425)487-6000 Will Habenicht CONTACT EMAIL: info@forecastsolar.com AGREEMENT:t hereby certify that f have read and ermined this application and know the same to be Orae and correct. At provisions of laws and ordnances governing this type of work writ be complelod whether specffledherein or not The granting of pears doesnotpremos togive authorftyto violate or cancel Ue provisions of any other state or local law regula g construction orthe p omrsnce&construction. That i we authodzed by the ower of this property b perform the warkibrwhich Epp/cation is made and I comply with the State Contractors Law 1827RCWand 296.200 WAC. City of Everett Official Use Only /ownerPERMIT# ,r o6/Date � E ` <6O -OS( Agent Signature Date (Revised 9V23r2016)