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BLD2022-1160_Application_8.29.2022_2.11.04_PM_3078558CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1194340 - Fuell-Solar Applicant First Name Last Name Company Name Will Habenicht Forecast Roofing & Solar LLC Number Street Apartment or Suite Number E-mail Address 12820 Avondale Way info@forecastsolar.com City State Zip Phone Number Extension Everett WA 98204 (425) 487-6000 Contractor Company Name Forecast Roofing & Solar Number Street Apartment or Suite Number 12820 Avondale Way City State Zip Phone Number Extension Everett WA 98204 4254876000 State License Number License Expiration Date UBI # E-mail Address FORECRL955MK 8/14/2023 ri(».i1_ri49s office@forecastsolar.com Project Location Number Street Floor Number Suite or Room Number 924 MOUNTAIN LN City Zip Code County Parcel Number EDMONDS 98020 00548900000604 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 Lawrence D & Margaret W Fuell Number Street Apartment or Suite Number 924 MOUNTAIN LN City State Zip EDMONDS WA 98020-2954 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: 8/29/2022 Submitted By: Will Habenicht Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1194340 - Fuell-Solar Project Contact Company Name: Forecast Roofing & Solar LLC Name: Will Habenicht Email: info@forecastsolar.com Address: 12820 Avondale Way Phone #: (425) 487-6000 Everett WA 98204 Project Type Activity Type Scope of Work Single Family Residential Alteration Photo -Voltaic Project Name: Fuell-Solar Description of Install 5.32kW grid -tied, roof -mounted solar PV system. 1 - SolarEdge SE-5000H-US Work: inverter, 14 - Canadian Solar 380W solar modules, 14 - SE-P400 optimizers, mounted on IronRidge solar racking system. Project Details Alternate Power Source Solar Photovoltaic System 1 Work Location Work Description/Location (example: 1st floor, Roof -top Master Bath, Garage) Page 2 of 2