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BLD2022-1254_Application_9.20.2022_5.20.57_PM_3120228CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1204868 - Johnson Solar Project Applicant First Name Last Name Company Name Feb Rhea Develos Solgen Power LLC Number Street Apartment or Suite Number E-mail Address 5715 Bedford Street permitting@solgenpower.com City State Zip Phone Number Extension Pasco WA 99301 (855) 709-1181 Contractor Company Name Solgen Power LLC Number Street Apartment or Suite Number 5715 Bedford St City State Zip Phone Number Extension City of Pasco WA 99301 (855) 709-1181 State License Number License Expiration Date UBI # E-mail Address SOLGEPL820BE 1/5/2024 BD41 R77n.r; permitting@solgenpower.com Project Location Number Street Floor Number Suite or Room Number 20415 80TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00634600000600 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 Charlotte M Johnson Number Street Apartment or Suite Number 20415 80TH AVE W City State Zip EDMONDS WA 98026-6704 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: 9/20/2022 Submitted By: Feb Rhea Develos Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1204868 - Johnson Solar Project Project Contact Company Name: Solgen Power LLC Name: Feb Rhea Develos Email: permitting@solgenpower.com Address: 5715 Bedford Street Phone #: (855) 709-1181 Pasco WA 99301 Project Type Activity Type Scope of Work Single Family Residential New Photo -Voltaic Project Name: Johnson Solar Project Description of Work: PV Solar Roof Mount Installation, 9.25kW, 2 Circuits Project Details Alternate Power Source Solar Photovoltaic System 1 Work Location Work Description/Location (example: 1st floor, Roof Master Bath, Garage) Page 2 of 2