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Application_988264CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #988264 Applicant First Name Rich Last Name Company Name Vulliet Energy Works Number Street 7034 220th St SW Apartment or Suite Number E-mail Address info@energyworksnw.com City State Mountlake Terrace WA Zip Phone Number Extension 98043 (425) 409-5661 Contractor Company Name ENERGY WORKS LLC Number Street 7034 220th St SW Apartment or Suite Number City Mountlake Terrace State Zip Phone Number Extension WA 98043 (425) 409-5661 State License Number ENERGWL88OKS License Expiration Date UBI # E-mail Address 5/14/2022 F;nign4597 info@energyworksnw.com Project Location Number Street 24015 95TH PL W Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98020 00446800001500 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Julie Last Name or Company Name Schoening Number Street 24015 95TH PL W Apartment or Suite Number City EDMONDS State Zip WA 98020-6505 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 7/8/2021 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #988264 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, hall closet, main floor. Master Bath, Garage) Scope of Work Mechanical Page 2 of 2