BLD2023-1549_Application_12.4.2023_3.53.40_PM_3933077CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1412488 - Ghenov Solar Project
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
3609 168th St NE 3507
City State Zip Phone Number Extension
Arlington WA 98223 (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
8909 218TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00602600002600
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
David Ghenov
Number Street Apartment or Suite Number
PO BOX 771
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: 12/4/2023 Submitted By: Stephanie Stewart
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CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1412488 - Ghenov Solar Project
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: Ghenov Solar Project
Description of Work: 7.38kW grid tied roof mounted solar system
Project Details
Alternate Power Source
Solar Photovoltaic System 1
Work Location
Work Description/Location (example: 1st floor, Rooftop
Master Bath, Garage)
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