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BLD2023-0242_Application_2.24.2023_10.10.06_AM_3386857CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1273810 - KAISERBROWN MECH PERMIT Applicant First Name Last Name Company Name CM Heating CM HEATING Number Street Apartment or Suite Number E-mail Address 1500 Industry St #200 INSTALL@CMHEATING.COM City State Zip Phone Number Extension EVERETT WA 98203 (425) 259-0550 Contractor Company Name CM AIR PROS LLC Number Street Apartment or Suite Number 1500 INDUSTRY ST SUITE 200 City State Zip Phone Number Extension EVERETT WA 98203 (425)259-0550 State License Number License Expiration Date UBI # E-mail Address CMAIRAP78ONH 8/8/2024 FD4g4gD9.,i INSTALL@CMHEATING.COM Project Location Number Street Floor Number Suite or Room Number 19911 80TH PL W City Zip Code County Parcel Number EDMONDS 98026 00506300000700 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 Anika T & Kaiser -Brown Reed W Appert Number Street Apartment or Suite Number 19911 80TH PL 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: 2/24/2023 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1273810 - KAISERBROWN MECH PERMIT Project Contact Company Name: CM HEATING Name: CM Heating Email: INSTALL@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: KAISERBROWN MECH PERMIT Description of Work: HEAT PUMP ADD Project Details HVAC Systems Heat Pump 1 Work Location Work Description/Location (example: 1st floor, OUTSIDE HP ADD Master Bath, Garage) Page 2 of 2