BLD2023-1377_Application_10.31.2023_7.09.46_AM_3870412CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1397485 - Davis Solar expansion
Applicant
First Name Last Name Company Name
Stephanie Stewart Blossom Solar LLC
Number Street Apartment or Suite Number E-mail Address
3609 168th St NE 3507 office@blossomsolar.com
City State Zip Phone Number Extension
Arlington WA 98223 (425) 610-7067
Contractor
Company Name
BLOSSOM SOLAR LLC
Number Street Apartment or Suite Number
1706 1706 Lombard Ave
City State Zip Phone Number Extension
Everett WA 98201 (425) 610-7067 (425) 610-7067
State License Number License Expiration Date UBI # E-mail Address
BLOSSSL823M7 7/27/2024 FD4D7gRR7 office@blossomsolar.com
Project Location
Number Street Floor Number Suite or Room Number
22519 95TH PL W
City Zip Code County Parcel Number
EDMONDS 98020 00544300007100
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
William L\mary Davis
Number Street Apartment or Suite Number
22519 95TH 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: 10/31/2023 Submitted By: Stephanie Stewart
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CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1397485 - Davis Solar expansion
Project Contact
Company Name: Blossom Solar LLC
Name: Stephanie Stewart Email: office@blossomsolar.com
Address: 3609 168th St NE 3507 Phone #: (425) 610-7067
Arlington WA 98223
Project Type Activity Type Scope of Work
Single Family Residential Alteration Photo -Voltaic
Project Name: Davis Solar expansion
Description of Work: Adding 3.2kW to existing 5.18kW roof mounted solar system.
Project Details
Alternate Power Source
Solar Photovoltaic System
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Adding 3.2kW grid tied roof mounted solar system
added to existing 5.18kw solar system.
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