BLD2021-0529_Application_4.13.2021_9.01.14_AM_2142066CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #948652 - Aukstuolis PV
Applicant
First Name Last Name Company Name
Adam Lee Puget Sound Solar LLC
Number Street Apartment or Suite Number E-mail Address
5308 Baker Ave NW info@pugetsoundsolar.com
City State Zip Phone Number Extension
Seattle WA 98107 (206) 706-1931
Contractor
Company Name
Puget Sound Solar LLC
Number Street Apartment or Suite Number
5308 Baker Ave NW
City State Zip Phone Number Extension
Seattle WA 98107 (206) 706-1931
State License Number License Expiration Date UBI # E-mail Address
PUGETSS920RH 12/8/2022 ri(».iR4514 info@pugetsoundsolar.com
Project Location
Number Street Floor Number Suite or Room Number
19311 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98020 00434600008602
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Kyleene E Ttee Perry
Number Street Apartment or Suite Number
19311 OLYMPIC VIEW DR
City State Zip
EDMONDS WA 98020
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 4/13/2021 Submitted By: Adam Lee
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CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #948652 - Aukstuolis PV
Project Contact
Company Name: Puget Sound Solar
Name: Andrew Young Email: ayoung@pugetsoundsolar.com
Address: 5308 Baker Ave NW Phone #: 4252607280
Seattle WA 98107
Project Type Activity Type Scope of Work
Single Family Residential Alteration Photo -Voltaic
Project Name: Aukstuolis PV
Description of Work: Installation of rooftop Solar Photovoltaic System consisting of (40) Hanwha QCells
340W b/b AC modules
Project Details
Alternate Power Source
Solar Photovoltaic System 1
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