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BLD2022-0853+Application+6.30.2022_12.52.25_PM+2964529CITY OF EDMONDS nnyst,ilaingPermit.com Electrical Application #1156721 -Edmonds 99 PV Applicant First Name Last Name Company Name Lyudmila Arseniy Puqet Sound Solar Number Street Apartment or Suite Number E-mail Address 5308 Baker Ave NW larseniy(�D_pugetsoundsolar.com City State Zip Phone Number Extension SEATTLE WA 98107 (206) 619-3818 Contractor Company Name Puqet Sound Solar LLC Number Street Apartment or Suite Number 5308 Baker Ave NW City State Zip Phone Number Extension Seattle WA 98107 (206) 706-1931 State License Number License Expiration Date UBI # E-mail Address PUGETSS920RH 12/8/2022 602584534 larseniy((_pugetsoundsolar.com Project Location Number Street Floor Number Suite or Room Number 23400 HIGHWAY 99 City Zip Code County Parcel Number EDMONDS 98026 00576700002002 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 GRE EDMONDS LLC Number Street Apartment or Suite Number 10 INVERNESS DR E 250 City State Zip ENGLEWOOD CO 80112 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: 6/30/2022 Submitted By: Lyudmila Arseniy Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Electrical Application #1156721 -Edmonds 99 PV Project Contact Company Name: Puget Sound Solar Name: Lyudmila Arseniy Email: larseniy@pugetsoundsolar.com Address: 5308 Baker Ave NW Phone #: (206) 619-3818 SEATTLE WA 98107 Project Type Multifamily Residential Activity Type Scope of Work New Photo -Voltaic Project Name: Edmonds 99 PV Description of Work: Installation of rooftop Solar PV Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Valuation Fair Market Value of Electrical Work Installation of rooftop solar PV/Roof $33,816 Page 2 of 2