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Application_1397917CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1397917 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 & HOME SRVS 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 GREENHH7716M 9/18/2025ri(»griqn14 UBI # E-mail Address permits@greenwoodheating.com Project Location Number Street 18224 SUNSET WAY Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27041800204000 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 Shawna Rothaus Number Street 18224 SUNSET WAY Apartment or Suite Number 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: 10/31/2023 Submitted By: Greenwood Heating and AC Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1397917 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. garage Scope of Work Plumbing Page 2 of 2