BLD2022-0414_Application_3.30.2022_4.01.34_PM_2771797CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1116637 - Bolotin - Daikin FIT System Installation
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
1523 10TH PL N
City Zip Code County Parcel Number
EDMONDS 98020 27031300408300
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
Benjamin C Bolotin
Number Street Apartment or Suite Number
1523 10TH PL N
City State Zip
EDMONDS WA 98020
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: 3/30/2022 Submitted By: Rich Vulliet
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1116637 - Bolotin - Daikin FIT System Installation
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: Bolotin - Daikin FIT System Installation
Description of Work: Replacing old furnace in the garage with Ne Daikin FIT Furnace and A/C unit with smart
Daikin ONE+ thermostat in approved and existing location.
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: 1 st floor, replacing old equipment on the back of garage and
Master Bath, Garage) inside garage ground level with new equipment in the
same location.
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