Application_1052115CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1052115
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
21614 85TH PL W
Floor Number Suite or Room Number
City
EDMONDS
Zip Code
98026
County Parcel Number
00554000000500
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Marian
Last Name or Company Name
Nelson
Number Street
21614 85TH PL W
Apartment or Suite Number
City
EDMONDS
State
WA
Zip
98026-7826
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: 11/18/2021 Submitted By: CM Heating
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1052115
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