BLD2023-0563_Application_5.9.2023_11.48.51_AM_3533665CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1312686 - Rand Ductless Heat Pump
Applicant
First Name Last Name Company Name
MARK ROCKWELL Rockwell Energy Systems
Number Street Apartment or Suite Number E-mail Address
PO Box 240 ROCKWELL2009@LIVE.COM
City State Zip Phone Number Extension
Lynnwood WA 98046 (425) 673-6046
Contractor
Company Name
ROCKWELL ENERGY SYSTEMS LLC
Number Street Apartment or Suite Number
Po Box 240
City State Zip Phone Number Extension
Lynnwood WA 98046 (425) 673-6046
State License Number License Expiration Date UBI # E-mail Address
ROCKWES9340J 10/26/2023 FD9B9R5g4 ROCKWELL2009@LIVE.COM
Project Location
Number Street Floor Number Suite or Room Number
18613 80TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00517700003800
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
Allan Rand
Number Street Apartment or Suite Number
18613 80TH AVE W
City State Zip
EDMONDS WA 98026-5818
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: 5/9/2023 Submitted By: MARK ROCKWELL
Page 1 of 2
CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1312686 - Rand Ductless Heat Pump
Project Contact
Company Name: Rockwell Energy Systems
Name: MARK ROCKWELL Email: ROCKWELL2009@LIVE.COM
Address: PO Box 240 Phone #: (425) 673-6046
Lynnwood WA 98046
Project Type
Single Family Residential
Activity Type Scope of Work
New Mechanical
Project Name: Rand Ductless Heat Pump
Description of Work: Installation of two -headed, Daikin ductless heat pump.
Project Details
HVAC Systems
Heat Pump
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Installation of two -head Daikin ductless heat pump
system.
Page 2 of 2