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BLD2022-1462_Application_10.24.2022_1.02.08_PM_3181501CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1220153 - Hackney 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 14F;5g HHAGEAGE@CMHEATING.COM Project Location Number Street Floor Number Suite or Room Number 631 MAPLE ST City Zip Code County Parcel Number EDMONDS 98020 00434209602900 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 Clifford D & Marie L Ttees Hackney Number Street Apartment or Suite Number 631 MAPLE ST City State Zip EDMONDS WA 98020-3435 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: 10/24/2022 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1220153 - Hackney 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: Hackney Mech Description of Work: air handler and heat pump install Project Details HVAC Systems Air Handler 10,000 CFM or less Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 interior / exterior Page 2 of 2