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BLD2022-1476_Application_10.26.2022_4.22.33_PM_3187558CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1221633 - Bergevin Applicant First Name Last Name Company Name Wendy Wenrick A & R SOLAR Number Street Apartment or Suite Number E-mail Address 3211 MLK Jr Way S Suite B permits@a-rsolar.com City State Zip Phone Number Extension Seattle WA 98144 (206) 707-9937 Contractor Company Name A&R Solar Number Street Apartment or Suite Number 3211 Martin Luther King JR Way S. Suite B City State Zip Phone Number Extension Seattle WA 98144 (206) 707-9937 State License Number License Expiration Date UBI # E-mail Address RSOLAS*903JM 5/20/2024 Rn97n7R79 permits@a-rsolar.com Project Location Number Street Floor Number Suite or Room Number 827 FIR ST City Zip Code County Parcel Number EDMONDS 98020 00619400100600 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 Julie Rice & Jon Douglas Bergevin Number Street Apartment or Suite Number 827 FIR ST City State Zip EDMONDS WA 98020-3958 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: 10/26/2022 Submitted By: Wendy Wenrick Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1221633 - Bergevin Project Contact Company Name: A & R SOLAR Name: Wendy Wenrick Email: permits@a-rsolar.com Address: 3211 MLK Jr Way S Suite B Phone #: (206) 707-9937 Seattle WA 98144 Project Type Single Family Residential Activity Type Scope of Work Alteration Photo -Voltaic Project Name: Bergevin Description of Work: Installing PV system on rooftop of SFR Project Details Alternate Power Source Solar Photovoltaic System 1 Work Location Work Description/Location (example: 1st floor, Exterior, rooftop Master Bath, Garage) Page 2 of 2