BLD2022-1028_Application_8.3.2022_11.54.08_AM_3029634CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1182609 - Rox Mech
Applicant
First Name Last Name Company Name
CM Heating CM HEATING
Number Street Apartment or Suite Number E-mail Address
1500 Industry St #200 HHAGEAGE@CMHEATING.COM
City State Zip Phone Number Extension
EVERETT WA 98203 (425) 259-0550
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 14B5g HHAGEAGE@CMHEATING.COM
Project Location
Number Street Floor Number Suite or Room Number
810 WALNUT ST
City Zip Code County Parcel Number
EDMONDS 98020 00434207300100
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
Mark L & Rox Nicole F Hanson
Number Street Apartment or Suite Number
810 WALNUT ST
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. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 8/3/2022 Submitted By: CM Heating
Page 1 of 2
CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1182609 - Rox Mech
Project Contact
Company Name: CM HEATING
Name: CM Heating Email: HHAGEAGE@CMHEATING.COM
Address: 1500 Industry St #200 Phone #: (425) 259-0550
EVERETT WA 98203
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Name: Rox Mech
Description of Work: 2 zone ductless heat pump install and 1 Oft of gas pipping
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech 1
HVAC Systems
Heat Pump 1
Work Location
Work Description/Location (example: 1 st floor, interior / exterior
Master Bath, Garage)
Page 2 of 2