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BLD2023-1141_Application_9.11.2023_1.00.28_PM_3775573CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1374157 - Crescentis Residenc 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 1315 OLYMPIC AVE City Zip Code County Parcel Number EDMONDS 98020 00548900000911 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 Peri Di Crescentis Number Street Apartment or Suite Number 1315 OLYMPIC AVE 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: 9/11/2023 Submitted By: Greenwood Heating and AC Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1374157 - Crescentis Residenc 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: Crescentis Residenc Description of Work: Install AC and Generac Generator. Gas pipe to Generator, gad furnace and hot water tank Project Details Appliances and Equipment Gas Piping Outlets - Mech 1 Generator 1 HVAC Systems Air Conditioner 1 Work Location Work Description/Location (example: 1 st floor, Exterior side of house Master Bath, Garage) Page 2 of 2