Application_BLD2023-0374CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1290062
Applicant
First Name Last Name
Greenwood Heating and AC
Company Name
Select Air Services DBA Greenwood Heating
Number Street
14027 Interurban Ave S
Apartment or Suite Number E-mail Address
permits@greenwoodheating.com
City State Zip
Tukwila WA 98168
Phone Number Extension
(206) 784-1818
Contractor
Company Name
GREENWOOD HEATING & A/C
Number Street
14027 Interurban Ave S
Apartment or Suite Number
City State Zip
Tukwila WA 98168
Phone Number Extension
(206) 784-1818
State License Number License Expiration Date
GREENHC785RN 2/6/2025
UBI # E-mail Address
Rn99sgn14 permits@greenwoodheating.com
Project Location
Number Street
19808 77TH PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00564000001200
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
Randal White
Number Street
19808 77TH PL W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 3/28/2023 Submitted By: Greenwood Heating and AC
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1290062
Project Type
Single Family Residential
Project Details
Fixtures
Water Heater - Gas Mechanical
Associated Building Permit?
Activity Type
Repair or Replacement
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, hallway closet
Master Bath, Garage)
Scope of Work
Plumbing
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