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 $:
   

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:
       
 

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.