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BLD2023-0142_Application_2.2.2023_3.56.23_PM_3348427CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1263532 - Hinds Solar Applicant First Name Last Name Company Name Krystene Allen Solgen Power LLC Number Street Apartment or Suite Number E-mail Address 5715 Bedford Street permitting.wa@solgenpower.com City State Zip Phone Number Extension Pasco WA 99301 (509) 596-2254 Contractor Company Name Solgen Power LLC Number Street Apartment or Suite Number Bedford St City State Zip Phone Number Extension Pasco WA 99301 5093944099 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 8418 191 ST ST SW City Zip Code County Parcel Number EDMONDS 98026 00567300000500 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 Robert Hinds Number Street Apartment or Suite Number 8418 191 ST ST SW City State Zip EDMONDS WA 98026-5946 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: 2/2/2023 Submitted By: Krystene Allen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1263532 - Hinds Solar Project Contact Company Name: Solgen Power LLC Name: Krystene Allen Email: permitting.wa@solgenpower.com Address: 5715 Bedford Street Phone #: (509) 596-2254 Pasco WA 99301 Project Type Single Family Residential Activity Type Scope of Work New Photo -Voltaic Project Name: Hinds Solar Description of Work: PV Solar Roof Mount Installation, 1 circuit, 3.52kw Project Details Alternate Power Source Solar Photovoltaic System Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 8418 191 st Street Southwest Edmonds Washington 98026 Page 2 of 2