BLD2023-0470_Application_4.14.2023_7.42.21_AM_3482957CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1299179 - Jackson 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
GREENHA922117 2/3/2025 F;n99sgn14 permits@greenwoodheating.com
Project Location
Number Street Floor Number Suite or Room Number
17913 75TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00473700002500
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
Leonard Jackson
Number Street Apartment or Suite Number
17913 75TH PL 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: 4/14/2023 Submitted By: Greenwood Heating and AC
Page 1 of 2
CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1299179 - Jackson 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 Repair or Replacement Mechanical
Project Name: Jackson Residence
Description of Work: replace single zone system
Project Details
HVAC Systems
Heat Pump 1
Work Location
Work Description/Location (example: 1st floor, Exterior, living loom
Master Bath, Garage)
Page 2 of 2