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BLD2021-0677_Application_5.14.2021_1.19.54_PM_2197803CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #963562 - Ross HP Installation Applicant First Name Last Name Company Name Catherine Ross Number Street Apartment or Suite Number E-mail Address 19508 88th ave w ross.catherine05@gmail.com City State Zip Phone Number Extension Edmonds WA 98026 2326870600 Contractor Company Name C M HEATING INC Number Street Apartment or Suite Number 1415 Broadway City State Zip Phone Number Extension Everett WA 98201 4252590550 State License Number License Expiration Date UBI # E-mail Address CMHEAI*095R4 5/4/2023 FD1 1 14B5g julia@cmheating.com Project Location Number Street Floor Number Suite or Room Number 19508 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27041800303400 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 E Ross Ttees Catherine Number Street Apartment or Suite Number 19508 88TH 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: 5/14/2021 Submitted By: Catherine Ross Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #963562 - Ross HP Installation Project Contact Company Name: CM Heating Name: Julia Cameron Email: julia@cmheating.com Address: 1418 Broadway Phone #: 4252590550 Everett WA 98201 Project Type Activity Type Scope of Work Single Family Residential New Mechanical Project Name: Ross HP Installation Description of Work: Installation of ductless HP Project Details HVAC Systems Heat Pump 1 Work Location Work Description/Location (example: 1 st floor, Exterior of home Master Bath, Garage) Page 2 of 2