BLD2022-1165_Application_8.31.2022_11.05.19_AM_3083074CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1195727 - Leslie Brown
Applicant
First Name Last Name Company Name
Beth Morin Revolution Energy Systems Inc
Number Street Apartment or Suite Number E-mail Address
9981 190th St Suite K permits.wa@revolutionsolar.com
City State Zip Phone Number Extension
Mokena IL 60448 (708) 995-1643
Contractor
Company Name
Revolution Energy Systems Inc
Number Street Apartment or Suite Number
9981 190th St Suite K
City State Zip Phone Number Extension
MOKENA IL 60448 (708)694-2035
State License Number License Expiration Date UBI # E-mail Address
REVOLES7831_2 6/22/2024 FD4q15746 permits.wa@revolutionsolar.com
Project Location
Number Street Floor Number Suite or Room Number
21412 96TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 27032500107000
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
Leslie K Brown
Number Street Apartment or Suite Number
21412 96TH AVE W
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: 8/31/2022 Submitted By: Beth Morin
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CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1195727 - Leslie Brown
Project Contact
Company Name: Revolution Energy
Systems Inc
Name: Beth Morin Email: permits.wa@revolutionsolar.com
Address: 9981 190th St Suite K Phone #: (708) 995-1643
Mokena IL 60448
Project Type
Single Family Residential
Activity Type Scope of Work
New Photo -Voltaic
Project Name: Leslie Brown
Description of Work: Install Residential Rooftop Solar System
Project Details
Alternate Power Source
Solar Photovoltaic System
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Install Residential Rooftop Solar system
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