BLD2022-1412_Application_10.17.2022_7.51.00_AM_3167370CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1216670 - Bolin 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
20900 77TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00595800003400
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
Haley Bolin
Number Street Apartment or Suite Number
20900 77th PI W
City State Zip
Edmonds WA 98026
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: 10/17/2022 Submitted By: Greenwood Heating and AC
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1216670 - Bolin 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
Single Family Residential Repair or Replacement
Scope of Work
Mechanical
Project Name: Bolin Residence
Description of Work: replace gas furnace, install AC. Relocate and install new gas lines to water tank
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
HVAC Systems
Air Conditioner
Furnace
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
1
kitchen closet, garage and exterior
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