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Application_1232996CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1232996 Applicant First Name Katrina Last Name 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 Kent WA Zip 98042 Phone Number Extension (206) 227-6616 Contractor Company Name Green City HTG & A/C INC Number Street 18131 85th St E Apartment or Suite Number City Bonney Lake State Zip WA 98391 Phone Number Extension (206) 227-6616 State License Number GREENCH866132 License Expiration Date 1/22/2024 UBI # E-mail Address F;m'lR.17.1q greencityhvac@gmail.com Project Location Number Street 7605 RIDGE WAY Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00434600010502 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Yuehching Last Name or Company Name Tsao Number Street 7605 RIDGE WAY Apartment or Suite Number City EDMONDS State WA Zip 98026-5564 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: 11/21/2022 Submitted By: Katrina Simonson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1232996 Project Type Single Family Residential Project Details HVAC Systems Furnace Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Mechanical Work Description/Location (example: 1st floor, installing new furnace garage Master Bath, Garage) Page 2 of 2