BLD2022-0985_Application_7.25.2022_9.30.43_AM_3008889CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1177830 - Ho Solar Project
Applicant
First Name Last Name Company Name
Nicholas Anderson Blossom Solar LLC
Number Street Apartment or Suite Number E-mail Address
1706 Lombard Ave office@blossomsolar.com
City State Zip Phone Number Extension
Everett WA 98201 (425) 610-7067
Contractor
Company Name
BLOSSOM SOLAR LLC
Number Street Apartment or Suite Number
1706 1706 Lombard Ave
City State Zip Phone Number Extension
Everett WA 98201 4256107067
State License Number License Expiration Date UBI # E-mail Address
BLOSSSL823M7 7/27/2024 F6467gRR7 office@blossomsolar.com
Project Location
Number Street Floor Number Suite or Room Number
8600 193RD PL SW
City Zip Code County Parcel Number
EDMONDS 98026 00614600000700
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 S & Mira R Ho
Number Street Apartment or Suite Number
8600 193RD PL SW
City State Zip
EDMONDS WA 98026-6132
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: 7/25/2022 Submitted By: Nicholas Anderson
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CITY OF EDMONDS MyBuitdingPermit.com
Electrical Application #1177830 - Ho Solar Project
Project Contact
Company Name: Blossom Solar LLC
Name: Nicholas Anderson Email: office@blossomsolar.com
Address: 1706 Lombard Ave Phone #: (425) 610-7067
Everett WA 98201
Project Type
Single Family Residential
Activity Type Scope of Work
Alteration Photo -Voltaic
Project Name: Ho Solar Project
Description of Work: 8.88 kW grid tied roof mounted solar system.
Project Details
Alternate Power Source
Solar Photovoltaic System
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
8.88 kW grid tied roof mounted solar system.
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