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BLD2022-1142_Application_8.25.2022_9.41.27_AM_3072031CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1193041 - Blumer 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 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 1465g HHAGEAGE@CMHEATING.COM Project Location Number Street Floor Number Suite or Room Number 9630 240TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00446600001800 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 Carrie Bulmer King Number Street Apartment or Suite Number 9630 240TH PL SW City State Zip EDMONDS WA 98020-6507 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: 8/25/2022 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1193041 - Blumer 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 Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Blumer Mech Description of Work: single zone ductless heat pump install Project Details HVAC Systems Heat Pump 1 Work Location Work Description/Location (example: 1 st floor, interior / exterior Master Bath, Garage) Page 2 of 2