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BLD2022-1200_Application_9.9.2022_11.29.45_AM_3099714CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1199731 - Solar Project - Reisig Applicant First Name Last Name Company Name General PM LUMIO HX, INC Number Street Apartment or Suite Number E-mail Address 1500 W Digital DR PNW.Permitting@Lumio.com City State Zip Phone Number Extension Lehi UT 84043 (360) 637-4343 Contractor Company Name LUMIO HX, INC Number Street Apartment or Suite Number 1550 W DIGITAL DR City State Zip Phone Number Extension LEHI UT 84043 (360)637-4343 State License Number License Expiration Date UBI # E-mail Address LUMI0HI789KR 5/19/2024 FD484781 R PNW.Permitting@Lumio.com Project Location Number Street Floor Number Suite or Room Number 821 14TH ST SW City Zip Code County Parcel Number EDMONDS 98020 27032500304900 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 Charlene Reisig Number Street Apartment or Suite Number 821 14TH ST SW 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: 9/9/2022 Submitted By: General PM Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1199731 - Solar Project - Reisig Project Contact Company Name: LUMIO HX, INC Name: General PM Email: PNW.Permitting@Lumio.com Address: 1500 W Digital DR Phone #: (360) 637-4343 Lehi UT 84043 Project Type Activity Type Scope of Work Single Family Residential Alteration Photo -Voltaic Project Name: Solar Project - Reisig Description of Work: 5.60kWDC rooftop photovoltaic solar installation Main service panel upgrade Project Details Alternate Power Source Solar Photovoltaic System 1 Work Location Work Description/Location (example: 1st floor, Rooftop Master Bath, Garage) Page 2 of 2