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Application_1115061CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1115061 Applicant First Name CM Last Name Company Name Heating CM HEATING Number Street 1415 Broadway Apartment or Suite Number E-mail Address HHAGEAGE@CMHEATING.COM City State EVERETT WA Zip Phone Number Extension 98201 4252590550 Contractor Company Name C M HEATING INC Number Street 1415 Broadway Apartment or Suite Number City Everett State Zip Phone Number Extension WA 98201 (425) 259-6666 State License Number CMHEAI*095R4 License Expiration Date UBI # E-mail Address 5/4/2023 FD1 1 1465g HHAGEAGE@CMHEATING.COM Project Location Number Street 837 MAIN ST Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98020 00434207802600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Jeremy Last Name or Company Name Schillinger Number Street 837 MAIN ST Apartment or Suite Number City EDMONDS State Zip WA 98020-3033 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: 3/28/2022 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1115061 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