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BLD2024-1328_Application_10.8.2024_12.36.15_PM_4547408CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1558706 - Jackson - Upgrading HVAC System 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 17913 75TH PL W City Zip Code County Parcel Number EDMONDS 98026 00473700002500 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 Leonard T & Kathy L Jackson Number Street Apartment or Suite Number 17913 75TH 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: 10/8/2024 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1558706 - Jackson - Upgrading HVAC System 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: Jackson - Upgrading HVAC System Description of Replacing old gas furnace like-n-kind with new Daikin Gas furnace at the same location, Work: reusing existing thermostat and installing single Zone Ductless Heat Pump for basement on the north side of garage outside in approved location. Project Details HVAC Systems Furnace 1 Heat Pump 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Installing Dustless heat Pump outdoor -ground level Master Bath, Garage) north side of garage; installing gas furnace indoor - same location as existing old furnace, main level. Page 2 of 2