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Application_2022-0039CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1076307 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 9711 228TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00536500000300 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 Chuck Gillespie Number Street 9711 228TH 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: 1/13/2022 Submitted By: Greenwood Heating and AC Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1076307 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, basement Master Bath, Garage) Page 2 of 2