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Application_1377458CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1377458 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 GREENHH7710M 9/14/2025ri(»griqn14 UBI # E-mail Address permits@greenwoodheating.com Project Location Number Street 8419 MAIN ST Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00647400400500 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 Darren Smitch Number Street 8419 MAIN ST Apartment or Suite Number 4E City State EDMONDS WA Zip 98026 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: 9/18/2023 Submitted By: Greenwood Heating and AC Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1377458 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, closet Master Bath, Garage) Page 2 of 2