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BLD2021-1279+Application+9.14.2021_4.02.54_PM+2408362CITY OF EDMONDS Electrical Application #1019717 - Heldridge Applicant First Name Last Name Wendy Wenrick Number Street Apartment or Suite Number 3211 MLK Jr Way S Suite B City State Zip Seattle WA 98144 Contractor Company Name A AND R SOLAR CORP Number Street 3211 Martin Luther Kinq JR Way S. City State Zip Seattle WA 98144 State License Number License Expiration Date UBI # RSOLAS*903JM 5/20/2022 602707872 Project Location Number Street 923 GLEN ST MyBuildingPermit.com Company Name A & R SOLAR E-mail Address permits(�D_a-rsolar.com Phone Number Extension 2067079937 Apartment or Suite Number Suite B Phone Number Extension (206) 707-9937 E-mail Address permits(aD_a-rsolar.com City Zip Code County Parcel Number EDMONDS 98020 00548900000805 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name Silvia M Heldridge Number Street Apartment or Suite Number 930 GLEN ST City State Zip EDMONDS WA 98020-2947 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: 9/14/2021 Submitted By: Wendy Wenrick Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Electrical Application #1019717 - Heldridge Project Contact Company Name: A & R SOLAR Name: Wendy Wenrick Email: permits@a-rsolar.com Address: 3211 MLK Jr Way S Suite B Phone #: 2067079937 Seattle WA 98144 Project Type Single Family Residential Activity Type Scope of Work Alteration Photo -Voltaic Project Name: Heldridge Description of Work: Installing PV system on rooftop. Project Details Alternate Power Source Solar Photovoltaic System 1 Page 2 of 2