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BLD2021-0584_Application_4.22.2021_4.17.28_PM_2159902CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #953533 - SARIA MECHANICAL 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 18105 69TH PL W City Zip Code County Parcel Number EDMONDS 98026 00906400001300 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 Richard D Suico Number Street Apartment or Suite Number 18105 69TH PL W City State Zip EDMONDS WA 98026-5611 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 4/22/2021 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #953533 - SARIA MECHANICAL Project Contact Company Name: C.M. Heating, Inc Name: CM Heating Email: kailana@cmheating.com Address: 1415 Broadway Phone #: 4252596666 Everett WA 98201 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: SARIA MECHANICAL Description of Work: LIKE IN KIND GAS FURNACE CHANGE OUT WITH A HEAT PUMP INSTALLATION Project Details HVAC Systems Furnace 1 Heat Pump 1 Work Location Work Description/Location (example: 1st floor, EXTERIOR OF HOME AND GARAGE Master Bath, Garage) Page 2 of 2