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Application_2021-1350CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1028604 Applicant First Name Last Name Greenwood Heating and AC Company Name Select Air Services DBA Greenwood Heating Number Street 825 S Stacy ST Apartment or Suite Number E-mail Address permits@greenwoodheating.com City State Zip Seattle WA 98134 Phone Number Extension 2067841818 Contractor Company Name GREENWOOD HEATING & A/C Number Street 825 S STACY ST Apartment or Suite Number City State Zip Seattle WA 98134 Phone Number Extension (206) 784-1818 State License Number License Expiration Date GREENHA9221.17 2/3/2023 UBI # E-mail Address F;n99sgn14 permits@greenwoodheating.com Project Location Number Street 7926 192ND PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00573000002500 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 Paula E Seward Number Street 7926 192ND PL SW Apartment or Suite Number City State EDMONDS WA Zip 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 10/1/2021 Submitted By: Greenwood Heating and AC Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1028604 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, hall closet Master Bath, Garage) Scope of Work Plumbing Page 2 of 2