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BLD2023-0840_Application_7.6.2023_9.54.52_AM_3649850CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1342989 - Tsoukalas - Daikin Heat Pump 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 16121 74TH PL W City Zip Code County Parcel Number EDMONDS 98026 00790400000800 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 George Tsoukalas Number Street Apartment or Suite Number 16121 74TH PL W City State Zip EDMONDS WA 98026 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: 7/6/2023 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1342989 - Tsoukalas - Daikin Heat Pump 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: Tsoukalas - Daikin Heat Pump Installation Outdoor unit to be placed on a pad with heat pump risers on the north side of home. Indoor wall Description of mount unit to be mounted in living room wall, right of fireplace on north wall. Line set to be run Work: outside of house in speedy channel down north side of house. Line hide to be ran on exterior north wall of house. Line hide will be used to cover line set to protect against outdoor elements. Indoor units will be powered by the outdoor unit through the transmission lines. Project Details HVAC Systems Heat Pump 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 Installing ductless heat pump unit on a pad with risers outdoor on the north side of home, ground level. Page 2 of 2