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BLD2022-1186+Application+9.6.2022_4.44.55_PM+3092498CITY OF EDMONDS nnysuilaingPermit.com Mechanical Application #1198086 - Kibbey Mech Applicant First Name Last Name Company Name CM Heatinq 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 601114652 HHAGEAGE@CMHEATING.COM Project Location Number Street Floor Number Suite or Room Number 505 PINE ST Apt 101 City Zip Code County Parcel Number EDMONDS 98020 00779100010100 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 H & Grover Diane B Kibbey Number Street Apartment or Suite Number 505 PINE ST Apt 101 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: 9/6/2022 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Mechanical Application #1198086 - Kibbey 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 Multifamily Residential Activity Type Alteration Project Name: Kibbey Mech Description of Work: 3 zone ductless heat pump install Project Details HVAC Systems HVAC - Exterior Ground Mounted Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 interior / exterior Scope of Work Mechanical Page 2 of 2