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BLD2024-1271_Application_9.26.2024_3.30.54_PM_4526888CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1553724 - Ruder - Daikin FIT 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 F;nign4597 info@energyworksnw.com Project Location Number Street Floor Number Suite or Room Number 1010 EDMONDS ST City Zip Code County Parcel Number EDMONDS 98020 00434204100200 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 Nicole & Borowski Dylan Ruder Number Street Apartment or Suite Number 1010 EDMONDS ST City State Zip EDMONDS WA 98020 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: 9/26/2024 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1553724 - Ruder - Daikin FIT 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 Activity Type Single Family Residential Repair or Replacement Scope of Work Mechanical Project Name: Ruder - Daikin FIT System Installation Installing Slim Daikin FIT Heat Pump mounted on South West concrete wall and new Description of Work: Daikin Gas Furnace with coil and smart Daikin ONE thermostat on main level of the house. Project Details HVAC Systems Furnace 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 1 Indoor ground level- installing furnace, Outdoor, ground level- installing Heat Pump. Page 2 of 2