BLD2023-0207+Application+2.17.2023_10.16.10_AM+3375545CITY OF EDMONDS nnyst,ilaingPermit.com
Mechanical Application #1270500 - Simmons 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
14027 Interurban Ave S
permits(�D_greenwoodheatinq.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
GREENHA922U7 2/3/2025
602259014 permits(cD_greenwoodheatinq.com
Project Location
Number Street Floor Number Suite or Room Number
20416 88TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00506700002602
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
Richard Simmons
Number Street Apartment or Suite Number
20416 88TH AVE W
City State Zip
EDMONDS WA 98026-6624
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: 2/17/2023 Submitted By: Greenwood Heating and AC
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Mechanical Application #1270500 - Simmons 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 Alteration Mechanical
Project Name: Simmons Residence
Description of Work: Install 10KW Generac Generator, gas pipe
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech 1
Generator 1
Work Location
Work Description/Location (example: 1 st floor, Exterior backyard
Master Bath, Garage)
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