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BLD2023-0012_Application_1.4.2023_9.49.13_AM_3290309CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1247466 - Johnson, N - New HVAC System Applicant First Name Last Name Company Name Rich Vulliet Energy Works Number Street Apartment or Suite Number E-mail Address 7034 220th St SW Service@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 Service@energyworksnw.com Project Location Number Street Floor Number Suite or Room Number 9411 216TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00595400000701 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 Nancy S Johnson Number Street Apartment or Suite Number 9411 216TH ST SW 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: 1/4/2023 Submitted By: Rich Vulliet Page 1 of 2 CITY OF EDMONDS M BuitdingPermit.com Mechanical Application #1247466 - Johnson, N - New HVAC System Project Contact Company Name: Energy Works Name: Rich Vulliet Email: Service@energyworksnw.com Address: 7034 220th St SW Phone #: (425) 409-5661 Mountlake Terrace WA 98043 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Name: Johnson, N - New HVAC System Description of Replacing old furnace with new Daikin Air handler and Heat Pump system with smart Work: Daikin ONE thermostat; replacing old water heater with new electric 50 Gal Rheem Water Heater in existing location. Project Details HVAC Systems Air Handler 10,000 CFM or less Heat Pump Associated Building Permit? There is no other onsite work that requires a building permit. Other 50 Gal Electric Water Heater Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 1 Water Heater will be installed in existing location, Heat pump- outdoor on the side of the garage, Air Handler will be installed in existing indoor furnace closet location, after removing old furnace. Page 2 of 2