BLD2021-0957_Application_7.12.2021_7.07.44_AM_2294012CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #989393 - Kienzle 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
17103 TALBOT RD
City Zip Code County Parcel Number
EDMONDS 98026 27040700104100
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
Doug Kienzle
Number Street Apartment or Suite Number
17103 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: 7/12/2021 Submitted By: Greenwood Heating and AC
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #989393 - Kienzle 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
Single Family Residential
Project Name: Kienzle Residence
Description of Work: Install mini split
Project Details
Activity Type Scope of Work
Alteration Mechanical
HVAC Systems
Heat Pump
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Exterior, master room, downstairs room
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