BLD2025-0097_Application_1.22.2025_12.38.29_PM_4723291CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1604087 - 13113 - Derry PV
Applicant
First Name Last Name Company Name
Jacob Benzaquen Northwest Electric and Solar
Number Street Apartment or Suite Number E-mail Address
18001 73rd Ave NE jacobb@nwsolar.com
City State Zip Phone Number Extension
Kenmore WA 98028 (715) 297-4419
Contractor
Company Name
NORTHWEST ELECTRIC & SOLAR LLC
Number Street Apartment or Suite Number
18001 73rd Ave NE
City State Zip Phone Number Extension
Kenmore WA 98028 (206) 356-0601
State License Number License Expiration Date UBI # E-mail Address
NORTHES876MA 7/2/2025 F;nii 4f1R5g jacobb@nwsolar.com
Project Location
Number Street Floor Number Suite or Room Number
16107 74TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00790400001000
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 E Derry
Number Street Apartment or Suite Number
16107 74TH PL W
City State Zip
EDMONDS WA 98026
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: 1/22/2025 Submitted By: Jacob Benzaquen
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CITY OF EDMONDS MyBuildingPermit.com
Electrical Application #1604087 - 13113 - Derry PV
Project Contact
Company Name: Northwest Electric and Solar
Name: Jacob Benzaquen Email: jacobb@nwsolar.com
Address: 18001 73rd Ave NE Phone #: (715) 297-4419
Kenmore WA 98028
Project Type
Single Family Residential
Activity Type Scope of Work
Alteration Photo -Voltaic
Project Name: 13113 - Derry PV
Description of Work: 9.46kW PV Array 22 x Silfab 430 QD Prime NTC mods PW3 Integrated inverter
(ESS under different permit)
Project Details
Alternate Power Source
Solar Photovoltaic System 1
Work Location
Work Description/Location (example: 1 st floor, Roof/Exterior Wall
Master Bath, Garage)
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