BLD2021-1088_Application_8.6.2021_10.41.42_AM_2343383CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1002255 - Glassburn 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
21911 98TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00559700400800
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
Richard & Kathleen Glassburn
Number Street Apartment or Suite Number
21911 98TH ST W
City State Zip
EDMONDS WA 98020
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: 8/6/2021 Submitted By: Greenwood Heating and AC
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1002255 - Glassburn 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 Repair or Replacement Mechanical
Project Name: Glassburn Residence
Description of Work: installing a ductless heat pump
Project Details
HVAC Systems
Heat Pump 1
Work Location
Work Description/Location (example: 1st floor, Living room
Master Bath, Garage)
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