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BLD2024-0754_Application_6.6.2024_3.55.01_PM_4306759CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1500374 - Daikin Ductless System 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 5/14/2026 Fnign4597 info@energyworksnw.com Project Location Number Street Floor Number Suite or Room Number 17011 73RD PL W City Zip Code County Parcel Number EDMONDS 98026 00741500001600 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 Charles Caleb & Victoria Eubank Lewin Number Street Apartment or Suite Number 17011 73RD 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: 6/6/2024 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1500374 - Daikin Ductless System 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 New Mechanical Project Name: Daikin Ductless System Installation Description of Work: Installing new Daikin Ductless Two Zone Heat Pump System in approved location on the back of the house and indoor units on the walls inside of the house. 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 Indoor -main floor, hanging wall units. Outdoor -back of the house, installing compressor. Page 2 of 2