Application_1039945CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1039945
Applicant
First Name Last Name
CM Heating
Company Name
C.M. Heating, Inc
Number Street
1415 Broadway
Apartment or Suite Number E-mail Address
BMILLER@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 5/4/2023
UBI # E-mail Address
BD111465g BMILLER@CMHEATING.COM
Project Location
Number Street
8706 191 ST PL SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00672700000500
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
KeIIi M Raecker
Number Street
8706 191 ST PL SW
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026
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: 10/25/2021 Submitted By: CM Heating
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1039945
Project Type
Single Family Residential
Project Details
Fixtures
Water Heater - Gas Mechanical
Work Location
Activity Type
Repair or Replacement
Work Description/Location (example: 1st floor, GARAGE
Master Bath, Garage)
Scope of Work
Plumbing
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