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BLD2022-0580_Application_5.5.2022_3.28.49_PM_2850887CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1137934 - White - Daikin 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 5/14/2024 F;nign4597 info@energyworksnw.com Project Location Number Street Floor Number Suite or Room Number 21910 95TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00527900001500 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 Richard H White Number Street Apartment or Suite Number 21910 95TH AVE W 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: 5/5/2022 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1137934 - White - Daikin 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 Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: White - Daikin System Installation Description of Work: Installing Daikin AC system with coil and 80%AFUE 2 stage variable Furnace and new Honeywell Prestige Thermostat. Project Details HVAC Systems Air Conditioner Furnace Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 Work on ground level: approved location in back yard and indoor main floor. Page 2 of 2