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Application_1049279CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1049279 Applicant First Name CM Last Name Heating Company Name CM HEATING Number Street 1415 Broadway Apartment or Suite Number E-mail Address HHAGEAGE@CMHEATING.COM City State EVERETTT WA Zip 98201 Phone Number Extension 4252590550 Contractor Company Name C M HEATING INC Number Street 1415 Broadway Apartment or Suite Number City EVERETTT State Zip WA 98201 Phone Number Extension 4252590550 State License Number CMHEAI*095R4 License Expiration Date 5/4/2023 UBI # E-mail Address FD1 1 1465g HHAGEAGE@CMHEATING.COM Project Location Number Street 851 WALNUT ST Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00434207402200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Robert M & Nancy L Last Name or Company Name Miller Number Street 851 WALNUT ST Apartment or Suite Number City EDMONDS State WA Zip 98020 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: 11/12/2021 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1049279 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, INTERIOR Master Bath, Garage) Page 2 of 2