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:     

     

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Please review the terms and conditions on the GENERATED Solar Permit Application.