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BLD2021-0910_Application_7.1.2021_1.29.40_PM_2279813CITY OF EDMONDS MyBuildingPermitxom Electrical Application #985632 - Likkel-PV Solar Roof Mount Installation Applicant First Name Last Name Company Name Jackie Johnson Solgen Power Number Street Apartment or Suite Number E-mail Address 5715 Bedford Street permitting@solgenpower.com.wa City State Zip Phone Number Extension Pasco WA 99301 5098664845 Contractor Company Name Solgen Power LLC Number Street Apartment or Suite Number 5715 Bedford St City State Zip Phone Number Extension Pasco WA 99301 5098664845 State License Number License Expiration Date UBI # E-mail Address SOLGEPL820BE 1/5/2022 BD41 R77n.r; permitting.wa@solgenpower.com Project Location Number Street Floor Number Suite or Room Number 1230 6TH AVE S City Zip Code County Parcel Number EDMONDS 98020 27032500315200 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 Craig F & Shelly R Likkel Number Street Apartment or Suite Number 1230 6th Ave S 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: 7/1/2021 Submitted By: Jackie Johnson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Electrical Application #985632 - Likkel-PV Solar Roof Mount Installation Project Contact Company Name: Solgen Power Name: Jackie Johnson Email: permitting.wa@solgenpower.com Address: 5715 Bedford Street Phone #: 5098664845 Pasco WA 99301 Project Type Activity Type Scope of Work Single Family Residential New Photo -Voltaic Project Name: Likkel-PV Solar Roof Mount Installation Description of Work: PV Solar Roof Mount Installation Project Details Alternate Power Source Solar Photovoltaic System 1 Page 2 of 2