Application_2021-0450CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #942175
Applicant
First Name Last Name Company Name
CM Heating C.M. Heating, Inc
Number Street Apartment or Suite Number E-mail Address
1415 Broadway kailana@cmheating.com
City State Zip Phone Number Extension
Everett WA 98201 4252596666
Contractor
Company Name
C M HEATING INC
Number Street Apartment or Suite Number
1415 Broadway
City State Zip Phone Number Extension
Everett WA 98201 (425) 259-6666
State License Number License Expiration Date UBI # E-mail Address
CMHEAI*095R4 5/3/2021 FD1 1 1465g kailana@cmheating.com
Project Location
Number Street Floor Number Suite or Room Number
18912 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98020 27031300401800
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
Harris Teresa M Sifferman
Number Street Apartment or Suite Number
18912 OLYMPIC VIEW DR
City State Zip
EDMONDS WA 98020-2353
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: 3/30/2021 Submitted By: CM Heating
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #942175
Project Type
Single Family Residential
Project Details
Heaters
Fireplace Insert - Gas
Work Location
Activity Type
Repair or Replacement
Work Description/Location (example: 1st floor, LIVING AREA
Master Bath, Garage)
Scope of Work
Mechanical
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