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Application_2022-0654CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1145029 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 EVERETT WA Zip 98201 Phone Number Extension 4252590550 Contractor Company Name C M HEATING INC Number Street 1415 Broadway Apartment or Suite Number City Everett State Zip WA 98201 Phone Number Extension (425) 259-6666 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 21010 SUMMIT LN Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00373600500205 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Gary Last Name or Company Name Alston Number Street 900 N 185TH ST Apartment or Suite Number City SEATTLE State WA Zip 98133 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: 5/18/2022 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1145029 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