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BLD2021-1574_Application_11.18.2021_9.49.14_AM_2526910CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1034193 - Landry Solar Applicant First Name Last Name Company Name Jose Gallardo Solgen Power LLC Number Street Apartment or Suite Number E-mail Address 5715 Bedford Street permitting.wa@solgenpower.com City State Zip Phone Number Extension Pasco WA 99301 509-931-1663 Contractor Company Name Solgen Power LLC Number Street Apartment or Suite Number 5715 Bedford St City State Zip Phone Number Extension Pasco WA 99301 509-931-1663 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 7818 187TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00517700000600 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 Laura C & Miller Andrew P Landry Number Street Apartment or Suite Number 7818 187TH PL SW City State Zip EDMONDS WA 98026 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: 11/18/2021 Submitted By: Jose Gallardo Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1034193 - Landry Solar Project Contact Company Name: Solgen Power LLC Name: Jose Gallardo Email: permitting.wa@solgenpower.com Address: 5715 Bedford Street Phone #: 509-931-1663 Pasco WA 99301 Project Type Activity Type Scope of Work Single Family Residential New Photo -Voltaic Project Name: Landry Solar Description of Work: PV Solar Roof Installation. 3 circuits. System Size: 11.16 kW Project Details Alternate Power Source Solar Photovoltaic System 1 Page 2 of 2