BLD2022-1392_Application_10.11.2022_4.58.29_PM_3159083CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1214747 - Baldock Residence
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
GREENHA9221.17 2/3/2023 F;n99sgn14 permits@greenwoodheating.com
Project Location
Number Street Floor Number Suite or Room Number
23619 104TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 27033600302100
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
Matt & Sarah Baldock
Number Street Apartment or Suite Number
23619 104TH 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: 10/11/2022 Submitted By: Greenwood Heating and AC
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1214747 - Baldock Residence
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 Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Name: Baldock Residence
Description of Work: Install AC
Project Details
HVAC Systems
Air Conditioner 1
Work Location
Work Description/Location (example: 1st floor, exterior
Master Bath, Garage)
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