BLD2021-1289+Application+9.17.2021_8.24.29_AM+2414786CITY OF EDMONDS nnyst,ilaingPermit.com
Mechanical Application #1021245 - Higgins Residence
Applicant
First Name Last Name Company Name
Greenwood Heatinq and AC Select Air Services DBA Greenwood Heatinq
Number Street Apartment or Suite Number E-mail Address
825 S Stacy ST permits(�D_greenwoodheatinq.com
City State Zip Phone Number Extension
Seattle WA 98134 2067841818
Contractor
Company Name
GREENWOOD HEATING & A/C
Number Street Apartment or Suite Number
825 S STACY ST
City State Zip Phone Number Extension
Seattle WA 98134 (206) 784-1818
State License Number License Expiration Date UBI # E-mail Address
GREENHA922U7 2/3/2023 602259014 permits(cD_greenwoodheatinq.com
Project Location
Number Street Floor Number Suite or Room Number
1005 5TH AVE S 301 B
City Zip Code County Parcel Number
EDMONDS 98020 00694700230100
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
Delores M Higgins
Number Street Apartment or Suite Number
1005 5TH AVE S 301 B
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: 9/17/2021 Submitted By: Greenwood Heating and AC
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Mechanical Application #1021245 - Higgins Residence
Project Contact
Company Name: Select Air Services DBA
Greenwood Heating
Name: Greenwood Heating and AC Email: permits@greenwoodheating.com
Address: 825 S Stacy ST Phone #: 2067841818
Seattle WA 98134
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: Higgins Residence
Description of Work: installing a ductless heat pump
Project Details
HVAC Systems
Heat Pump 1
Work Location
Work Description/Location (example: 1st floor, BEDROOM
Master Bath, Garage)
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