BLD2023-1155_Application_9.13.2023_3.39.20_PM_3781621CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1375683 - Kurlinski
Applicant
First Name Last Name Company Name
Katrina Simonson Green City Heating and Air Conditioning
Number Street Apartment or Suite Number E-mail Address
19107 SE 314th PI greencityhvac@gmail.com
City State Zip Phone Number Extension
Kent WA 98042 (206) 227-6616
Contractor
Company Name
Green City HTG & A/C INC
Number Street Apartment or Suite Number
311 3rd St NE
City State Zip Phone Number Extension
Auburn WA 98002 (206) 227-6616
State License Number License Expiration Date UBI # E-mail Address
GREENCH866132 1/22/2024 F;m'lR.17.1q greencityhvac@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
9855 225TH PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00450700600005
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
Virginia J Kurlinski
Number Street Apartment or Suite Number
9855 225TH PL 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: 9/13/2023 Submitted By: Katrina Simonson
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1375683 - Kurlinski
Project Contact
Company Name: Green City Heating and Air
Conditioning
Name: Katrina Simonson Email: greencityhvac@gmail.com
Address: 19107 SE 314th PI Phone #: (206) 227-6616
Kent WA 98042
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: Kurlinski
Description of Work: replacing boiler
Project Details
Boilers and Water Heaters
Boiler or Compressor 100,000 BTU or less 1
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage) garage
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