BLD2023-0918_Application_7.24.2023_7.46.48_AM_3683427CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1352090 - Khalaf 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
GREENHA9221.17 2/3/2025 F;n99sgn14 permits@greenwoodheating.com
Project Location
Number Street Floor Number Suite or Room Number
9421 217TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00527900000300
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
Osama Khalaf
Number Street Apartment or Suite Number
9421 217TH ST SW
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: 7/24/2023 Submitted By: Greenwood Heating and AC
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1352090 - Khalaf 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
Single Family Residential
Activity Type Scope of Work
Alteration Mechanical
Project Name: Khalaf Residence
Description of Work: install AC to existing furnace
Project Details
HVAC Systems
Air Conditioner
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
exterior back yard
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