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BLD2022-1590_Application_11.17.2022_12.34.50_PM_3225915CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1231454 - Grummel-Solar Applicant First Name Last Name Company Name Will Habenicht Forecast Roofing & Solar LLC Number Street Apartment or Suite Number E-mail Address 12820 Avondale Way office@forecastsolar.com City State Zip Phone Number Extension Everett WA 98204 (425) 487-6000 Contractor Company Name Forecast Roofing & Solar Number Street Apartment or Suite Number 12820 Avondale Way City State Zip Phone Number Extension Everett WA 98204 (425) 487-6000 State License Number License Expiration Date UBI # E-mail Address FORECRL955MK 8/14/2023 ri(».i1_ri49s info@forecastsolar.com Project Location Number Street Floor Number Suite or Room Number 22307 93RD PL W City Zip Code County Parcel Number EDMONDS 98020 00544300000900 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 James H & Arcieri Donna C Grummel Number Street Apartment or Suite Number 22307 93RD PL W 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: 11/17/2022 Submitted By: Will Habenicht Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1231454 - Grummel-Solar Project Contact Company Name: Forecast Roofing & Solar LLC Name: Will Habenicht Email: office@forecastsolar.com Address: 12820 Avondale Way Phone #: (425) 487-6000 Everett WA 98204 Project Type Single Family Residential Activity Type Scope of Work Alteration Photo -Voltaic Project Name: Grummel-Solar Description of Install 9.48kW grid -tied, roof -mounted solar PV system. 1 - SolarEdge SE-7600H-US Work: inverter, 24 - Canadian Solar 395W solar modules, 24 - SE-P400 optimizers, mounted on IronRidge solar racking system. Project Details Alternate Power Source Solar Photovoltaic System 1 Work Location Work Description/Location (example: 1 st floor, Roof -top on main house Master Bath, Garage) Page 2 of 2