BLD2024-0459_Application_4.9.2024_8.11.40_AM_4184465CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1470638 - Backen Residence
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 & HOME SRVS
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
GREENHH7710M 9/14/2025ri(»griqn14 permits@greenwoodheating.com
Project Location
Number Street Floor Number Suite or Room Number
20425 MAPLEWOOD DR
City Zip Code County Parcel Number
EDMONDS 98026 00506700002600
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
Terence A & Jacalyn J Backen
Number Street Apartment or Suite Number
20425 MAPLEWOOD DR
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: 4/9/2024 Submitted By: Greenwood Heating and AC
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1470638 - Backen 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 Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: Backen Residence
Description of Work: replace boiler in mechanical room
Project Details
Boilers and Water Heaters
Boiler or Compressor 100,000 BTU or less 1
Work Location
Work Description/Location (example: 1st floor, Mechanical Room
Master Bath, Garage)
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