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Application_BLD2023-0967CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1356280 Applicant First Name Rich Last Name Vulliet Company Name Energy Works Number Street 7034 220th St SW Apartment or Suite Number E-mail Address info@energyworksnw.com City State Mountlake Terrace WA Zip 98043 Phone Number Extension (425) 409-5661 Contractor Company Name ENERGY WORKS LLC Number Street 7034 220th St SW Apartment or Suite Number City Mountlake Terrace State Zip WA 98043 Phone Number Extension (425) 409-5661 State License Number ENERGWL88OKS License Expiration Date 5/14/2024 UBI # E-mail Address F;nign4597 info@energyworksnw.com Project Location Number Street 20920 74TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00380400002002 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Mohammad Sarfraz & Shazia Last Name or Company Name Khan Number Street 20920 74TH AVE W Apartment or Suite Number City EDMONDS State WA Zip 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 8/1/2023 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1356280 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech 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) Installing new gas pipe from new Gas Meter to new gas furnace and to the kitchen stove through the crawlspace. Two (2) outlets total. Indoor, main level. Separate Mechanical Permit BLD2023-0423 for furnace on site. Page 2 of 2