BLD2023-0783_Application_6.21.2023_3.29.29_PM_3622926CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1336813 - Graham - Daikin ductless HP 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 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
801 12TH PL N
City Zip Code County Parcel Number
EDMONDS 98020 00507000000800
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
Maureen S Graham
Number Street Apartment or Suite Number
801 12TH PL N
City State Zip
EDMONDS WA 98020-2937
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: 6/21/2023 Submitted By: Rich Vulliet
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1336813 - Graham - Daikin ductless HP System
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 Scope of Work
Single Family Residential Alteration Mechanical
Project Name: Graham - Daikin ductless HP System
Description of Work: Installing Daikin Ductless mini -split 3-Zone Heat Pump system.
Project Details
HVAC Systems
Heat Pump 1
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)
The outdoor unit to be placed on a pad with heat pump
risers on the south side of house. First indoor wall
mount unit to be mounted in family room/kitchen wall on
south side of house, second indoor head will be
installed on living room wall.
Page 2 of 2