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BLD2023-0739_Application_6.13.2023_10.07.29_AM_3605503CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1331917 - Busby -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 info@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 7715 193RD PL SW City Zip Code County Parcel Number EDMONDS 98026 00512400002300 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 Busby Number Street Apartment or Suite Number 7715 193RD PL SW 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: 6/13/2023 Submitted By: Will Habenicht Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1331917 - Busby -Solar Project Contact Company Name: Forecast Roofing & Solar LLC Name: Will Habenicht Email: info@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: Busby -Solar Description of Work: Install 8.64kW grid -tied, roof -mounted solar PV system with 18 - QCELL 480W solar modules mounted on IronRidge pre-engineered solar racking system Project Details Alternate Power Source Solar Photovoltaic System Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Install 8.64kW grid -tied, roof -mounted solar PV system Page 2 of 2