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Application_1095424CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1095424 Applicant First Name Last Name Company Name CM Heating CM HEATING Number Street Apartment or Suite Number E-mail Address 1415 Broadway HHAGEAGE@CMHEATING.COM City State Zip Phone Number Extension EVERETT WA 98201 4252590550 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 HHAGEAGE@CMHEATING.COM Project Location Number Street Floor Number Suite or Room Number 760 14TH WAY SW City Zip Code County Parcel Number EDMONDS 98020 00390100000200 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 Susan L Ttee Musgrove Number Street Apartment or Suite Number 760 14TH WAY S W 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, 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: 2/18/2022 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1095424 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