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BLD2021-0624_Application_5.3.2021_8.44.31_AM_2175241CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #957665 - Pedack Residence Applicant First Name Last Name Company Name Greenwood Heating and AC Select Air Services DBA Greenwood Heating Number Street Apartment or Suite Number E-mail Address 825 S Stacy ST permits@greenwoodheating.com City State Zip Phone Number Extension Seattle WA 98134 2067841818 Contractor Company Name GREENWOOD HEATING & A/C Number Street Apartment or Suite Number 825 S STACY ST City State Zip Phone Number Extension Seattle WA 98134 (206) 784-1818 State License Number License Expiration Date UBI # E-mail Address GREENHA9221.17 2/3/2023 F;n99sgn14 permits@greenwoodheating.com Project Location Number Street Floor Number Suite or Room Number 18225 85TH PL W City Zip Code County Parcel Number EDMONDS 98026 00776200000600 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 Alyssa & Pedack Eric Pedack Number Street Apartment or Suite Number 1629 LAKEMOUNT DR. City State Zip SNOHOMISH WA 98290 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: 5/3/2021 Submitted By: Greenwood Heating and AC Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #957665 - Pedack Residence Project Contact Company Name: Select Air Services DBA Greenwood Heating Name: Greenwood Heating and AC Email: permits@greenwoodheating.com Address: 825 S Stacy ST Phone #: 2067841818 Seattle WA 98134 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: Pedack Residence Description of Work: installing a gas furnace and heat pump Project Details HVAC Systems Furnace 1 Heat Pump 1 Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2