BLD2021-1179_Application_8.25.2021_10.07.36_AM_2375127CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1010561 -Smiley
Applicant
First Name Last Name Company Name
Sarah Turner Glendale Heating and Air Conditioning
Number Street Apartment or Suite Number E-mail Address
12462 Des Moines Memorial Dr saraht@glendaleheating.com
City State Zip Phone Number Extension
Burien WA 98168 2062441136
Contractor
Company Name
GLENDALE HEATING & A/C INC
Number Street Apartment or Suite Number
12462 Des Moines Memorial Dr
City State Zip Phone Number Extension
Seattle WA 98168 (206) 243-7700
State License Number License Expiration Date UBI # E-mail Address
GLENDHA053Q2 11/2/2021 BDDDDi167 saraht@glendaleheating.com
Project Location
Number Street Floor Number Suite or Room Number
21905 92ND AVE W
City Zip Code County Parcel Number
EDMONDS 98020 27043000200900
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
Kenneth E & Veronika A Smiley
Number Street Apartment or Suite Number
21905 92ND AVE 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: 8/25/2021 Submitted By: Sarah Turner
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1010561 -Smiley
Project Contact
Company Name: Glendale Heating and Air
Conditioning
Name: Sarah Turner Email: saraht@glendaleheating.com
Address: 12462 Des Moines Memorial Dr Phone #: 2062441136
Burien WA 98168
Project Type Activity Type
Single Family Residential Repair or Replacement
Project Name: Smiley
Description of Work: Install ductless mini split air conditioner
Project Details
HVAC Systems
Air Conditioner
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Scope of Work
Mechanical
Install ductless mini split air conditioner
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