BLD2021-0654_Application_5.11.2021_12.10.27_PM_2190462CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #961783 - COLLIN 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 5/4/2023 F61 1 1465g kailana@cmheating.com
Project Location
Number Street Floor Number Suite or Room Number
18328 73RD AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00477500006800
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
Stephanie & Herzer Andrew C Collin
Number Street Apartment or Suite Number
18328 73RD AVE W
City State Zip
EDMONDS WA 98026
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: 5/11/2021 Submitted By: CM Heating
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #961783 - COLLIN 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: COLLIN MECHANICAL
Description of Work: AC INSTALLATION
Project Details
HVAC Systems
Air Conditioner 1
Work Location
Work Description/Location (example: 1st floor, EXTERIOR OF HOME
Master Bath, Garage)
Page 2 of 2