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BLD2023-0928+Application+7.25.2023_7.06.01_AM+3686091CITY OF EDMONDS nnyst,ilaingPermit.com Mechanical Application #1352737 - Busch Residence Applicant First Name Last Name Company Name Greenwood Heatinq and AC Select Air Services DBA Greenwood Heatinq Number Street Apartment or Suite Number E-mail Address 14027 Interurban Ave S permits(�D_greenwoodheatinq.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 GREENHA922U7 2/3/2025 602259014 permits(cD_greenwoodheatinq.com Project Location Number Street Floor Number Suite or Room Number 16007 75TH PL W City Zip Code County Parcel Number EDMONDS 98026 00513105800400 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 Donald Busch Number Street Apartment or Suite Number 16007 75th PI W City State Zip Edmonds WA 98026 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: 7/25/2023 Submitted By: Greenwood Heating and AC Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Mechanical Application #1352737 - Busch 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: Busch Residence Description of Work: Install AC to existing furnace Project Details HVAC Systems Air Conditioner 1 Work Location Work Description/Location (example: 1st floor, exterior Master Bath, Garage) Page 2 of 2