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BLD2022-1261_Application_9.22.2022_9.07.31_AM_3123146CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1205664 - Belanger Mechanical 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 F61 1 1465g HHAGEAGE@CMHEATING.COM Project Location Number Street Floor Number Suite or Room Number 21712 82ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00534600000300 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 Arnie Anne & Belanger Bradley Sele Number Street Apartment or Suite Number 21712 82ND AVE W City State Zip EDMONDS WA 98026 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: 9/22/2022 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1205664 - Belanger Mechanical 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: Belanger Mechanical Description of Work: furnace and heat pump install Project Details HVAC Systems Furnace 1 Heat Pump 1 Work Location Work Description/Location (example: 1 st floor, interior / exterior Master Bath, Garage) Page 2 of 2