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Application_BLD2023-0374CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1290062 Applicant First Name Last Name Greenwood Heating and AC Company Name Select Air Services DBA Greenwood Heating Number Street 14027 Interurban Ave S Apartment or Suite Number E-mail Address permits@greenwoodheating.com City State Zip Tukwila WA 98168 Phone Number Extension (206) 784-1818 Contractor Company Name GREENWOOD HEATING & A/C Number Street 14027 Interurban Ave S Apartment or Suite Number City State Zip Tukwila WA 98168 Phone Number Extension (206) 784-1818 State License Number License Expiration Date GREENHC785RN 2/6/2025 UBI # E-mail Address Rn99sgn14 permits@greenwoodheating.com Project Location Number Street 19808 77TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00564000001200 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 Randal White Number Street 19808 77TH PL W Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 3/28/2023 Submitted By: Greenwood Heating and AC Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1290062 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, hallway closet Master Bath, Garage) Scope of Work Plumbing Page 2 of 2