BLD2023-1071_Application_8.29.2023_8.11.23_AM_3752268CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1368957 - Lutgen- Boiler replacement
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 5/14/2024 F;nign4597 info@energyworksnw.com
Project Location
Number Street Floor Number Suite or Room Number
16915 TALBOT RD
City Zip Code County Parcel Number
EDMONDS 98026 27040700102000
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
Paul D & Monica J Lutgen
Number Street Apartment or Suite Number
16915 TALBOT RD
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: 8/29/2023 Submitted By: Rich Vulliet
Page 1 of 2
CITY OF EDMONDS M BuitdingPermit.com
Mechanical Application #1368957 - Lutgen- Boiler replacement
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: Lutgen- Boiler replacement
Description of Work: Replacing like-n-kind gas boiler in existing location inside garage and adding indirect
water heater. System does not require backflow assembly due to GMP6 installation.
Project Details
Boilers and Water Heaters
Boiler or Compressor 100,001 to 499,000 BTU
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Other
indirect water heater
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
indoor main level- inside garage
Page 2 of 2