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BLD2022-1438_Application_10.19.2022_12.41.27_PM_3173933CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1218051 - Schnell Solar Project Applicant First Name Last Name Company Name Nicholas Anderson Blossom Solar LLC Number Street Apartment or Suite Number E-mail Address 1706 Lombard Ave office@blossomsolar.com City State Zip Phone Number Extension Everett WA 98201 (425) 610-7067 Contractor Company Name BLOSSOM SOLAR LLC Number Street Apartment or Suite Number 1706 Lombard Ave City State Zip Phone Number Extension Everett WA 98201 425-610-7067 State License Number License Expiration Date UBI # E-mail Address BLOSSSL823M7 7/27/2024 FD4D7gRR7 office@blossomsolar.com Project Location Number Street Floor Number Suite or Room Number 7508 BRAEMAR DR City Zip Code County Parcel Number EDMONDS 98026 00513500001800 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 Andrew & Schnell Jocelyn Schnell Number Street Apartment or Suite Number 7508 BRAEMAR DR City State Zip EDMONDS WA 98026 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: 10/19/2022 Submitted By: Nicholas Anderson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1218051 - Schnell Solar Project Project Contact Company Name: Blossom Solar LLC Name: Nicholas Anderson Email: office@blossomsolar.com Address: 1706 Lombard Ave Phone #: (425) 610-7067 Everett WA 98201 Project Type Activity Type Scope of Work Single Family Residential Alteration Photo -Voltaic Project Name: Schnell Solar Project Description of Work: 25.9 kW grid tied roof mounted solar system 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