Request Form SCOPE OF WORK CHECK ALL THAT APPLY STRUCTURAL ENGINEERING Licensed Stamps and Letter Yes ELECTRICAL ENGINEERING Licensed Stamps Yes FULL PERMITTING PACKET Not including engineering Yes For single pages: SINGLE LINE ELECTRICAL Yes THREE LINE ELECTRICAL Yes SITE PLAN/ LAYOUTS Yes OTHER: (PLEASE PROVIDE A DETAILED DESCRIPTION OF THE SERVICES YOU ARE REQUESTING) Company Information *Contact Name: Contact Number: Company Address: *Company Name: Website: Project Details *Project/Customer Name: *Project Address: *System Size: *Make and Model of Panel: *Make and Model of Inverter: *Racking System: Submission Date: Site Information Roof Pitch: Roofing Material: Rafter/Truss Size and Spacing: *(If structural engineering is needed) *Location of the Main Service Panel: (E.G South Side of Home, North Side of Home, etc.) *Size of the Main Breaker: *Rating of the Main Bus: Proposed Location of the Inverter: (E.G South Side of Home, North Side of Home, etc.) Proposed Interconnection Method: Location of Utility Meter: Layout Information: Additional Details: