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BLD2022-0248_Application_2.25.2022_2.02.30_PM_2703661CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1098795 - Bernhoft Solar Applicant First Name Last Name Company Name Thomas Knapp NATIONWIDE ENERGY Number Street Apartment or Suite Number E-mail Address PO Box 821959 tknapp@mynationwidesolar.com City State Zip Phone Number Extension Vancouver WA 98682 (503)930-6000 Contractor Company Name NATIONWIDE ENERGY Number Street Apartment or Suite Number 6407 NE 117TH AVE SUITE B City State Zip Phone Number Extension VANCOUVER WA 98682 (503)930-6000 (800)908-8992 State License Number License Expiration Date UBI # E-mail Address NATIOE*810L1 6/24/2023 FD9695g1 9 tknapp@mynationwidesolar.com Project Location Number Street Floor Number Suite or Room Number 8219 TALBOT RD City Zip Code County Parcel Number EDMONDS 98026 00594400001000 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 Robert Bernhoft Number Street Apartment or Suite Number 8219 Talbot Talbot Rd 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: 2/25/2022 Submitted By: Thomas Knapp Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1098795 - Bernhoft Solar Project Contact Company Name: NATIONWIDE ENERGY Name: Thomas Knapp Address: PO Box 821959 Vancouver WA 98682 Email: tknapp@mynationwidesolar.com Phone #: (503)930-6000 Project Type Activity Type Scope of Work Single Family Residential Alteration Photo -Voltaic Project Name: Bernhoft Solar Description of Work: Installation of roof mounted solar pv generation system Project Details Alternate Power Source Solar Photovoltaic System 1 Page 2 of 2