BLD2022-1550_Application_11.10.2022_12.20.02_PM_3214020CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1228131 -CAROL
Applicant
First Name Last Name Company Name
Katrina Simonson Green City Heating and Air Conditioning
Number Street Apartment or Suite Number E-mail Address
19107 SE 314th PI greencityhvac@gmail.com
City State Zip Phone Number Extension
Kent WA 98042 (206) 227-6616
Contractor
Company Name
Green City HTG & A/C INC
Number Street Apartment or Suite Number
18131 85th St E
City State Zip Phone Number Extension
Bonney Lake WA 98391 (206) 227-6616
State License Number License Expiration Date UBI # E-mail Address
GREENCH866132 1/22/2024 F;m'lR.17.1q greencityhvac@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
611 SATER LN
City Zip Code County Parcel Number
EDMONDS 98020 27032400222500
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
Christopher John & Carole Sue Crall
Number Street Apartment or Suite Number
611 SATER LN
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: 11/10/2022 Submitted By: Katrina Simonson
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CITY OF EDMONDS MyBuitdingPermit.com
Mechanical Application #1228131 -CAROL
Project Contact
Company Name: Green City Heating and Air
Conditioning
Name: Katrina Simonson Email: greencityhvac@gmail.com
Address: 19107 SE 314th PI Phone #: (206) 227-6616
Kent WA 98042
Project Type Activity Type
Single Family Residential Repair or Replacement
Scope of Work
Mechanical
Project Name: CAROL
Description of Work: replacing existing furnace and heat pump with a new furnace and heat pump
Project Details
HVAC Systems
Furnace 1
Heat Pump 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, side of home and garage
Master Bath, Garage)
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