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Application_1388080CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1388080 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 GREENHH7710M 9/14/2025ri(»griqn14 UBI # E-mail Address permits@greenwoodheating.com Project Location Number Street 841 PUGET WAY Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00496000000300 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 Cyrus B Smith Number Street 841 PUGET WAY 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: 10/10/2023 Submitted By: Greenwood Heating and AC Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1388080 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, crawl space Master Bath, Garage) Scope of Work Mechanical Page 2 of 2