BLD2021-1113_Application_8.10.2021_4.33.51_PM_2349660CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1004016 - BLACKBURN 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 FD1 1 1465g kailana@cmheating.com
Project Location
Number Street Floor Number Suite or Room Number
721 3RD AVE S
City Zip Code County Parcel Number
EDMONDS 98020 00409700000400
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 Elizabeth Blackburn
Number Street Apartment or Suite Number
721 3RD AVE S
City State Zip
EDMONDS WA 98020
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: 8/10/2021 Submitted By: CM Heating
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1004016 - BLACKBURN 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: BLACKBURN MECHANICAL
Description of Work: HEAT PUMP INSTALLATION
Project Details
HVAC Systems
Heat Pump 1
Work Location
Work Description/Location (example: 1st floor, EXTERIOR OF HOME
Master Bath, Garage)
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