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BLD2023-1152+Application+9.12.2023_3.00.48_PM+3778661CITY OF EDMONDS Electrical Application #1373641 - 22-10825 Applicant First Name Last Name Taylor Smith i MyBuitdingPermit.com Company Name Artisan Electric Inc. Number Street Apartment or Suite Number E-mail Address 969 South Nebraska Suite A solar installs(aD_artisanelectricinc.com City State Zip Seattle WA 98108 Contractor Company Name ARTISAN ELECTRIC INC Number Street 969 South Nebraska City State Zip Seattle WA 98108 State License Number License Expiration Date UBI # ARTISE19361_1 6/24/2025 602729270 Project Location Number Street 23715 74TH AVE W Phone Number Extension (206) 557-4215 Apartment or Suite Number Suite A Phone Number Extension (206) 557-4215 E-mail Address solar installs(cD_artisanelectricinc.com City Zip Code County Parcel Number EDMONDS 98026 27043200301200 Associated Building Permit Number Tenant Name 4173202E Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name Michael N & Mattox Sarah E Frost Number Street Apartment or Suite Number 23715 74TH AVE W City State Zip EDMONDS WA 98026 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: 9/12/2023 Submitted By: Taylor Smith Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #1373641 - 22-10825 Project Contact Company Name: Artisan Electric Inc Name: Taylor Smith Email: solar—installs@artisanelectricinc.com Address: 969 South Nebraska Phone #: (206) 557-4215 Suite A Seattle WA 98108 Project Type Activity Type Scope of Work Single Family Residential Alteration Photo -Voltaic Project Name: 22-10825 Description of installation of a 20.91 kW System: 51 REC Modules; REC410AA Pure and 51 Enphase Work: Micro -inverters: IQ8PLUS72-2-US Microinverter and 4 Enphase IQ Battery 5P; IQBATTERY-5P-1 P-NA Project Details Alternate Power Source Solar Photovoltaic System 1 Work Location Work Description/Location (example: 1 st floor, rooftop Master Bath, Garage) Page 2 of 2