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BLD2021-0634_Application_5.6.2021_7.47.23_AM_2160403CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #953669 - Reilly 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 825 S Stacy ST permits@greenwoodheating.com City State Zip Phone Number Extension Seattle WA 98134 2067841818 Contractor Company Name GREENWOOD HEATING & A/C Number Street Apartment or Suite Number 825 S STACY ST City State Zip Phone Number Extension Seattle WA 98134 (206) 784-1818 State License Number License Expiration Date UBI # E-mail Address GREENHA9221.17 2/3/2023 F;n99sgn14 permits@greenwoodheating.com Project Location Number Street Floor Number Suite or Room Number 20312 92ND AVE W City Zip Code County Parcel Number EDMONDS 98020 00572800000202 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 Michelle Reilly Number Street Apartment or Suite Number 20312 92ND AVE W City State Zip EDMONDS WA 98020-2984 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: 5/6/2021 Submitted By: Greenwood Heating and AC Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #953669 - Reilly Residence Project Contact Company Name: Select Air Services DBA Greenwood Heating Name: Greenwood Heating and AC Email: permits@greenwoodheating.com Address: 825 S Stacy ST Phone #: 2067841818 Seattle WA 98134 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: Reilly Residence Description of Work: installing a ductless heat pump Project Details HVAC Systems Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 living room/ back yard Scope of Work Mechanical Page 2 of 2