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BLD2021-1175_Application_8.24.2021_8.30.45_AM_2372240CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1009767 - Kilmer 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 8426 198TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00558700002300 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 Caroline Killmer Number Street Apartment or Suite Number 8426 198TH ST SW 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: 8/24/2021 Submitted By: Greenwood Heating and AC Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1009767 - Kilmer 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: Kilmer Description of Work: installing an air conditioner Project Details HVAC Systems Air Conditioner 1 Work Location Work Description/Location (example: 1 st floor, side yard Master Bath, Garage) Page 2 of 2