Application_1475093CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1475093
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
20015 83RD AVE W
Floor Number Suite or Room Number
City
EDMONDS
Zip Code
98026
County Parcel Number
00569400000100
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Derek W & Krista M
Last Name or Company Name
Forseth
Number Street
20015 83RD AVE W
Apartment or Suite Number
City
EDMONDS
State
WA
Zip
98026-6726
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: 4/17/2024 Submitted By: Rich Vulliet
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1475093
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, in a closet
Master Bath, Garage)
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