Application_2021-1171CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1010016
Applicant
First Name Last Name
Rich Vulliet
Company Name
Energy Works
Number Street
7034 220th St SW
Apartment or Suite Number E-mail Address
info@energyworksnw.com
City State Zip
Mountlake Terrace WA 98043
Phone Number Extension
(425) 409-5661
Contractor
Company Name
ENERGY WORKS LLC
Number Street
7034 220th St SW
Apartment or Suite Number
City State Zip
Mountlake Terrace WA 98043
Phone Number Extension
(425) 409-5661
State License Number License Expiration Date
ENERGWL88OKS 5/14/2022
UBI # E-mail Address
F;nign4597 info@energyworksnw.com
Project Location
Number Street
9304 220TH ST SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00391900000100
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
Kaitlyn & Aaron Giboney
Number Street
815 NW 54TH ST
Apartment or Suite Number
City State
SEATTLE WA
Zip
98107
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: 8/24/2021 Submitted By: Rich Vulliet
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1010016
Project Type
Single Family Residential
Project Details
Other
Tankless Gas Water Heater
Work Location
Activity Type
Repair or Replacement
Scope of Work
Mechanical
Work Description/Location (example: 1st floor, replacement in same location, ground level floor
Master Bath, Garage)
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