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BLD2022-0927_Application_7.13.2022_4.05.05_PM_2988198CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1172895 - Eileen O'Connor -King Applicant First Name Last Name Company Name jon lange Sunergy Systems Inc. Number Street Apartment or Suite Number E-mail Address 4546 Leary Way NW jonl@sunergysystems.com City State Zip Phone Number Extension Seattle WA 98107 (206) 571-4726 Contractor Company Name Sunergy Systems Inc. Number Street Apartment or Suite Number 4546 Leary Way NW City State Zip Phone Number Extension Seattle WA 98107 (206) 571-4726 State License Number License Expiration Date UBI # E-mail Address SUNERS1905D4 4/9/2024 RDgggiDR1 jonl@sunergysystems.com Project Location Number Street Floor Number Suite or Room Number 729 LAUREL ST City Zip Code County Parcel Number EDMONDS 98020 00484500703100 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 GREY SEA LLC Number Street Apartment or Suite Number 713 LAUREL ST 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: 7/13/2022 Submitted By: jon Iange Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1172895 - Eileen O'Connor -King Project Contact Company Name: Sunergy Systems Inc. Name: Jon Lange Email: jonl@sunergysystems.com Address: 4546 Leary Way NW Phone #: (206) 571-4726 Seattle WA 98107 Project Type Activity Type Scope of Work Single Family Residential New Photo -Voltaic Project Name: Eileen O'Connor -King Description of Rooftop residential photovoltaic installation, consisting of 22 Sunpower-A series-410w Work: E-ACPV solar modules, paired with 22 Sunpower/Enphase E-ACPV 366w microinverters. 1 array section on 1-story east -facing standing seam metal roof @ 3-degree pitch Project Details Work Location Rooftop residential solar installation consisting of 22 Sunpower-A series-410w E-ACPV solar modules paired Work Description/Location (example: 1 st floor, with 22 integral Sunpower 366w microinverters, on east Master Bath, Garage) facing 1-story standing seam metal roof @ 3-degree pitch. Connecting to 200A main breaker panel, grid -tied PV system. Page 2 of 2