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Application_BLD2023-0688CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1326812 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 8822 BOWDOIN WAY Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00505300000900 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 Darrell S Davis Number Street 463 OXFORD ESTATES WAY Apartment or Suite Number City State SAINT JOHNS FL Zip 32259 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: 6/2/2023 Submitted By: Greenwood Heating and AC Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1326812 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, utility closet Master Bath, Garage) Scope of Work Plumbing Page 2 of 2