Job (Street Address Only):
Owner Name:
Owner Area Code: Owner Phone: (e.g. 555-1111)
Contractor License #:
License Class:
Business License #:
Contractor / Applicant Name:
Applicant Area Code: Applicant Phone: (e.g. 555-2222)
Applicant Address:
Applicant Cell Area Code: Applicant Cell Phone: (e.g. 555-3333)
Applicant Email Address:
Building Application #: (provide the Building Application # if the Solar System is part of a permitted Building Plan; otherwise leave blank)
Valuation of Electrical Work $:
ResidentialNon-Residential
Number of PV Modules:
Watts per Module:
System (DC) KW will be filled in on the generated application (System (DC) KW = Number of PV Modules X Watts per Module) / 1000)
Check all that apply: BATTERIES NEW SUBPANEL SERVICE UPGRADE OTHER (describe any UNUSUAL features, 100 character limit):
Name of Person to sign:
Please click on 'Open' if prompted by the browser.
Please review the terms and conditions on the GENERATED Solar Permit Application.