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BLD2022-1033_Application_8.5.2022_6.16.05_AM_3034390CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1183752 - Church Residene 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 14027 Interurban Ave S permits@greenwoodheating.com City State Zip Phone Number Extension Tukwila WA 98168 (206) 784-1818 Contractor Company Name GREENWOOD HEATING & A/C Number Street Apartment or Suite Number 14027 Interurban Ave S City State Zip Phone Number Extension Tukwila WA 98168 (206) 784-1818 State License Number License Expiration Date UBI # E-mail Address GREENHA922D7 3/27/2024 Rn99sgn14 permits@greenwoodheating.com Project Location Number Street Floor Number Suite or Room Number 1514 9TH AVE N City Zip Code County Parcel Number EDMONDS 98020 00622000000600 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 Sara Church Number Street Apartment or Suite Number 19 LEARNED PL City State Zip DURHAM NC 27705 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: 8/5/2022 Submitted By: Greenwood Heating and AC Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1183752 - Church Residene Project Contact Company Name: Select Air Services DBA Greenwood Heating Name: Greenwood Heating and AC Email: permits@greenwoodheating.com Address: 14027 Interurban Ave S Phone #: (206) 784-1818 Tukwila WA 98168 Project Type Single Family Residential Activity Type Repair or Replacement Project Name: Church Residene Description of Work: installing a hot water tank Project Details Fixtures Water Heater - Gas Mechanical 1 Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, Basement Master Bath, Garage) Scope of Work Plumbing Page 2 of 2