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BLD2022-0374_Application_3.24.2022_12.58.46_PM_2759361CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1113366 - Furnace Replacement - Groeschell, Bob Applicant First Name Last Name Company Name Rich Vulliet Energy Works Number Street Apartment or Suite Number E-mail Address 7034 220th St SW info@energyworksnw.com City State Zip Phone Number Extension Mountlake Terrace WA 98043 (425) 409-5661 Contractor Company Name ENERGY WORKS LLC Number Street Apartment or Suite Number 7034 220th St SW City State Zip Phone Number Extension Mountlake Terrace WA 98043 (425) 409-5661 State License Number License Expiration Date UBI # E-mail Address ENERGWL88OKS 5/14/2022 F;nign4597 info@energyworksnw.com Project Location Number Street Floor Number Suite or Room Number 131 3RD AVE N City Zip Code County Parcel Number EDMONDS 98020 00434400700500 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 Bob & Martha H Groeschell Number Street Apartment or Suite Number 131 3RD AVE N City State Zip EDMONDS WA 98020-3208 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: 3/24/2022 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1113366 - Furnace Replacement - Groeschell, Bob Project Contact Company Name: Energy Works Name: Rich Vulliet Email: info@energyworksnw.com Address: 7034 220th St SW Phone #: (425) 409-5661 Mountlake Terrace WA 98043 Project Type Activity Type Single Family Residential Repair or Replacement Scope of Work Mechanical Project Name: Furnace Replacement - Groeschell, Bob Description of Work: Work: Replacing Like -and -kind gas Furnace in same location, adding 3 ton AC with coil and smart thermostat. Location: main floor and upper floor. Project Details HVAC Systems Air Conditioner 1 Furnace 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Work: Replacing Like -and -kind gas Furnace in same Master Bath, Garage) location, adding 3 ton AC with coil and smart thermostat. Location: main floor and upper floor. Page 2 of 2