BLD2022-0440_Application_4.6.2022_12.04.45_PM_2785730CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1120300 - Margulis PV
Applicant
First Name Last Name Company Name
Allie Braatz Puget Sound Solar LLC
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 (206) 706-1931
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 (206) 706-1931
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
1101 12TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 00548900001911
Associated Building Permit Number Tenant Name
3806298E
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Robert & Valerie Margulis
Number Street Apartment or Suite Number
1101 12th Ave N
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: 4/6/2022 Submitted By: Allie Braatz
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CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1120300 - Margulis PV
Project Contact
Company Name: PLCet Sound Solar
Name: Allie Braatz Email: permitting@pugetsoundsolar.com
Address: 5308 Baker Ave NW Phone #: (206) 706-1931
Seattle WA 98107
Project Type Activity Type Scope of Work
Single Family Residential Alteration Photo -Voltaic
Project Name: Margulis PV
Description of Work: Installation of rooftop Solar Photovoltaic System consisting of 18.975kW - (55) Mission
Solar 345W. (55) Enphase IQ7+. Line -side tap.
Project Details
Alternate Power Source
Solar Photovoltaic System 1
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