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Application_BLD2022-1616CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1233545 Applicant First Name Last Name Rich Vulliet Company Name Energy Works Number Street 7034 220th St SW Apartment or Suite Number E-mail Address info@energyworksnw.com City State Zip Mountlake Terrace WA 98043 Phone Number Extension (425) 409-5661 Contractor Company Name ENERGY WORKS LLC Number Street 7034 220th St SW Apartment or Suite Number City State Zip Mountlake Terrace WA 98043 Phone Number Extension (425) 409-5661 State License Number License Expiration Date ENERGWL88OKS 5/14/2024 UBI # E-mail Address F;nign4597 info@energyworksnw.com Project Location Number Street 18307 76TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00370800300602 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 Kimberley Michelle & Erik Waldo Pygott Number Street 18307 76TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 11/22/2022 Submitted By: Rich Vulliet Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1233545 Project Type Single Family Residential Project Details HVAC Systems Furnace Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Mechanical Work Description/Location (example: 1 st floor, Indoor only - main level, in garage, existing furnace Master Bath, Garage) location. Page 2 of 2