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BLD2021-1029_Application_7.26.2021_8.29.35_AM_2320358CITY OF EDMONDS MyBuildingPermit.com Electrical Application #996049 - Lippert PV Applicant First Name Last Name Company Name Allie Braatz Puget Sound Solar LLC Number Street Apartment or Suite Number E-mail Address 5308 Baker Ave NW permitting@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 permitting@pugetsoundsolar.com Project Location Number Street Floor Number Suite or Room Number 1520 9TH AVE N City Zip Code County Parcel Number EDMONDS 98020 00622000000100 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 Paul & Beckman Julie Lippert Number Street Apartment or Suite Number 1520 9TH AVE N City State Zip EDMONDS WA 98020-2627 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: 7/26/2021 Submitted By: Allie Braatz Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #996049 - Lippert PV Project Contact Company Name: PLCet Sound Solar Name: Allie Braatz Email: permitting@pugetsoundsolar.com Address: 5308 Baker Ave NW Phone #: (206) 706-1931 Seattle WA 98107 Project Type Activity Type Scope of Work Single Family Residential Alteration Photo -Voltaic Project Name: Lippert PV Description of Work: Installation of rooftop Solar Photovoltaic System consisting of 4.62kW - (14) Silfab 330W. (1) SolarEdge SE3800H. No Production Meter Requested. Project Details Alternate Power Source Solar Photovoltaic System 1 Page 2 of 2