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BLD2021-1530_Application_11.10.2021_9.58.57_AM_2512839CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1047779 - Cunningham PV Applicant First Name Last Name Company Name Allie Braatz Puget Sound Solar 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 2067061931 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 2067061931 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 22406 96TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00559000200600 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 Donald S & Consuelo Cunningham Number Street Apartment or Suite Number 22406 96TH AVE W 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: 11/10/2021 Submitted By: Allie Braatz Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1047779 - Cunningham PV Project Contact Company Name: Puget Sound Solar Name: Allie Braatz Email: permitting@pugetsoundsolar.com Address: 5308 Baker Ave phone #: 2067061931 NW Seattle WA 98107 Project Type Activity Type Scope of Work Single Family Residential Alteration Photo -Voltaic Project Name: Cunningham PV Description of Installation of rooftop Solar Photovoltaic System consisting of 23.2kW - (58) LG 400W. Work: (58) Enphase IQ7A. Add-Ons: Line -side tap. Consumption monitoring. No Production Meter Requested. Project Details Alternate Power Source Solar Photovoltaic System 1 Page 2 of 2