Application_2022-0445CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1121049
Applicant
First Name Last Name
Katrina Simonson
Company Name
Green City Heating and Air Conditioning
Number Street
19107 SE 314th PI
Apartment or Suite Number E-mail Address
greencityhvac@gmail.com
City State Zip
Kent WA 98042
Phone Number Extension
2062276616
Contractor
Company Name
Green City HTG & A/C INC
Number Street
18131 85th St E
Apartment or Suite Number
City State Zip
Bonney Lake WA 98391
Phone Number Extension
(206) 227-6616
State License Number License Expiration Date
GREENCH866132 1/22/2024
UBI # E-mail Address
F;m'lR.17.1q greencityhvac@gmail.com
Project Location
Number Street
611 SATER LN
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
27032400222500
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
Christopher John & Carole Sue Crall
Number Street
611 SATER LN
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020
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: 4/7/2022 Submitted By: Katrina Simonson
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1121049
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Work Location
Work Description/Location (example: 1st floor, re locating existing furnace and water heater- extended
Master Bath, Garage) gas line to new location of units
Page 2 of 2