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BLD2024-0502+Application+4.15.2024_2.55.10_PM+4197398CITY OF EDMONDS MyBuitdingPermit.com Electrical Application #1472250 - EUMC-Solar Applicant First Name Last Name Company Name Will Habenicht Forecast Roofinq & Solar LLC Number Street Apartment or Suite Number E-mail Address 12820 Avondale Way will(.@_forecastsolar.com City State Zip Phone Number Extension Everett WA 98204 (423) 237-4018 Contractor Company Name Forecast Roofinq & Solar Number Street Apartment or Suite Number 12820 Avondale Way City State Zip Phone Number Extension Everett WA 98204 (423) 237-4018 State License Number License Expiration Date UBI # E-mail Address FORECRL955MK 8/21/2025 602515428 will(aD_forecastsolar.com Project Location Number Street Floor Number Suite or Room Number 828 CASPERS ST Roof NA City Zip Code County Parcel Number EDMONDS 98020 27032400217100 Associated Building Permit Number Tenant Name NA Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS UNITED METHODIST CHURCH Number Street Apartment or Suite Number 828 CASPERS ST City State Zip EDMONDS WA 98020-2618 Certification Statement - The applicant states: 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. 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: 4/15/2024 Submitted By: Will Habenicht Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1472250 - EUMC-Solar Project Contact Company Name: Forecast Roofing & Solar LLC Name: Will Habenicht Email: will@forecastsolar.com Address: 12820 Avondale Way Phone #: (423) 237-4018 Everett WA 98204 Project Type Nonresidential Activity Type Alteration Scope of Work Photo -Voltaic Project Name: EUMC-Solar Description of Work: Install 125.8kW grid -tied, roof -mounted solar PV system comprised of 296 solar modules. Project Details Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Valuation Fair Market Value of Electrical Work Install 125.8kW grid -tied, roof -mounted solar PV system comprised of 296 solar modules. $32,560 Page 2 of 2