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Office Use Only \Fee:$40 Permit #:_COLAC~O]72F -2020 SOLAR PANEL PERMIT APPLI 742 Bay Road,Queensbury,NY 12804 Invoice #:_ZAAS ©Property Owner(s): Name(s):_Edward Petrush P:518-761-8256 eensbury.net Mailing Address,C/S/Z:36 Pershing Rd.Queensbury,NY 12804{_“puCellPhone:_(s18__)_330-4088 Land Line:_(_518 _)_793-7644 Email:_psales1284@aol.com Project Address:36 Pershing Rd.Queensbury,NY 12804 Section Block Lot:_302.14-1-7: Existing Use:Single Family (12-4Family (Commercial O Other: ©Solar Contractor: Workers’Comp documentation must be submitted with this application Business Name:_AEC Solar Energy Corp. Contact Name:Geoffrey Katt Mailing Address,C/S/Z:210 Washington Avenue Extension Albany,NY 12203 Cell Phone:_()Land Line:(518 __)_213-8786 Email:_solar@aecenergy.com ¢Electrical Contractor: Workers’Comp documentation must be submitted with this application Business Name:_AEC Solar Energy Corp. Contact Name:Geoflrey Katt Mailing Address,C/S/Z:210 Washington Avenue Extension Albany,NY 12203 Cell Phone:_{)tand Line:_(518 _)_213-8786 Email: Contact Person for Building &Code Compliance:_G Cell Phone:_()_land Line: Email;Solar@aecenergy.com (518)213-8786 Solar Panel Application Revised March 2019 Estimated cost of construction:$_26,081.90 Are the solar panels?O Purchased Leased Total System Capacity Rating (sum of all panels): Solar PV System:8.502 kw DC Select System Configuration: Supply side connection with micro inverters Supply side connection with DC optimizers Supply side connection with string inverter Load side connection with DC optimizers Load side connection with micro inverters ooadc.auc6UcdolLmB Load side connection with string inverter Please sign below to affirm that all answers are correct and that you have met all the conditions and requirements to submit a unified solar permit. Edward Petrush 93/17/2020 Homeowner's Signature Date Seotprey Katt 03/16/2020 Solar Co,Representative Signature Date Solar Panel Application Revised March 2019 Signature Certificate Document Ref FFQJQ-TNWBE-IWSG2-WMBBB. Document signed by: Edward Petrush | Verified E-mail | psalest284@a0l.com | Eedard,Petrush Document completed by all parties on 17 Mar 2020 15:09:31 UTC Page 1 of 1 erwinNNTINAT 1 | Signed with PandaDoc.com PandaDoé is the document platform that be company's revenue by erating the way