Application_2021-1388CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1031809
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
GREENHA9221J7 2/3/2023
UBI # E-mail Address
F;n99sgn14 permits@greenwoodheating.com
Project Location
Number Street
19420 88TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
27041800312200
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
John R & Carol G Potter
Number Street
19420 88TH AVE W
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: 10/8/2021 Submitted By: Greenwood Heating and AC
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1031809
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace
Work Location
Work Description/Location (example: 1st floor, Garage
Master Bath, Garage)
Page 2 of 2