BLD2023-1354_Application_10.26.2023_9.37.33_AM_3862647CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1395612 - Nilsen PV
Applicant
First Name Last Name Company Name
Nazifullah Nazif Puget Sound Solar
Number Street Apartment or Suite Number E-mail Address
805 Rainier Ave S permitting@pugetsoundsolar.com
City State Zip Phone Number Extension
Seattle WA 98144 (206) 706-1931
Contractor
Company Name
Puget Sound Solar LLC
Number Street Apartment or Suite Number
805 Rainier Ave S
City State Zip Phone Number Extension
Seattle WA 98144 (206) 706-1931
State License Number License Expiration Date UBI # E-mail Address
PUGETSS920RH 12/8/2024 ri(».iR4514 permitting@pugetsoundsolar.com
Project Location
Number Street Floor Number Suite or Room Number
712 7TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 27032500205600
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 & Baurecht Magrit Nilsen
Number Street Apartment or Suite Number
712 7TH AVE S
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: 10/26/2023 Submitted By: Nazifullah Nazif
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1395612 - Nilsen PV
Project Contact
Company Name: Puget Sound Solar
Name: Nazifullah Nazif Email: permitting@pugetsoundsolar.com
Address: 805 Rainier Ave S Phone #: (206) 706-1931
Seattle WA 98144
Project Type Activity Type Scope of Work
Single Family Residential Alteration Photo -Voltaic
Project Name: Nilsen PV
Description of Work: Installation of rooftop Solar Photovoltaic System consisting of 11.07kW - (27) Silfab
410W. (27) Enphase IQ8+.
Project Details
Alternate Power Source
Solar Photovoltaic System 1
Work Location
Work Description/Location (example: 1st floor, Roof
Master Bath, Garage)
Page 2 of 2