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BLD2021-1545_Application_11.12.2021_10.11.58_AM_2517411CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1049030 - Eric Emme Applicant First Name Last Name Company Name Carter McBride Tesla Energy Operations Number Street Apartment or Suite Number E-mail Address 6132 NE 112th Ave portlandpermits@tesla.com City State Zip Phone Number Extension portland OR 97220 (732)823-2104 Contractor Company Name Tesla Energy Operations Inc Number Street Apartment or Suite Number 3055 Clearview Way City State Zip Phone Number Extension SAN MATEO CA 94402 (503)894-6903 State License Number License Expiration Date UBI # E-mail Address TESLAEO829T1 3/7/2022 BD9g94DB 1 portlandpermits@tesla.com Project Location Number Street Floor Number Suite or Room Number 126 HIGHLAND DR City Zip Code County Parcel Number EDMONDS 98020 00423000004400 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 Eric Emme Number Street Apartment or Suite Number 126 HIGHLAND DR City State Zip EDMONDS WA 98020-2951 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: 11/12/2021 Submitted By: Carter McBride Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1049030 - Eric Emme Project Contact Company Name: Tesla Energy Operations Name: Carter McBride Email: portlandpermits@tesla.com Address: 6132 NE 112th Ave Phone #: (732)823-2104 portland OR 97220 Project Type Activity Type Scope of Work Single Family Residential New Photo -Voltaic Project Name: Eric Emme Description of Work: Installation of new 13.56 kW Solar Roof with 2 Powerwall's Project Details Alternate Power Source Solar Photovoltaic System 1 Page 2 of 2