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Application_956707CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #956707 Applicant First Name Last Name CM Heating Company Name C.M. Heating, Inc Number Street 1415 Broadway Apartment or Suite Number E-mail Address kailana@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 FD1 1 1465g kailana@cmheating.com Project Location Number Street 1141 EDMONDS ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00507100000300 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 Neal & Maria Fuller Number Street 305 COUNTRY LN Apartment or Suite Number City State DERIDDER LA Zip 70634 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: 4/29/2021 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #956707 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, MECHANICAL CLOSET Master Bath, Garage) Scope of Work Mechanical Page 2 of 2