Application_1193006CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1193006
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
1500 Industry ST Suite 200
City State Zip Phone Number Extension
Everett WA 98203 (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
17622 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98026 00596700000300
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
Martha L Barragan
Number Street Apartment or Suite Number
17622 OLYMPIC VIEW DR
City State Zip
EDMONDS WA 98026-5636
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: 8/25/2022 Submitted By: CM Heating
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1193006
Project Type
Single Family Residential
Project Details
HVAC Systems
Furnace
Work Location
Activity Type
Repair or Replacement
Work Description/Location (example: 1 st floor, interior / exterior
Master Bath, Garage)
Scope of Work
Mechanical
Page 2 of 2