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Application_947240CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #947240 Applicant First Name Last Name CM Heating Company Name C.M. Heating, Inc Number Street 1415 Broadway Apartment or Suite Number E-mail Address DEBBIE@CMHEATING.COM City State Zip Everett WA 98201 Phone Number Extension 4252596666 Contractor Company Name C M HEATING INC Number Street 1415 Broadway Apartment or Suite Number City State Zip Everett WA 98201 Phone Number Extension (425) 259-6666 State License Number License Expiration Date CMHEAI*095R4 5/3/2021 UBI # E-mail Address BD111465g DEBBIE@CMHEATING.COM Project Location Number Street 17109 SEA LAWN DR Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00566000000600 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 Wendy R & Clarke Morgan S Hansen Number Street 20418 41 ST PL W Apartment or Suite Number City State LYN N WOOD WA Zip 98037 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: 4/9/2021 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #947240 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, INSIDE Master Bath, Garage) Page 2 of 2