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Application_BLD2023-0891CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1348302 Applicant First Name Last Name CM Heating Company Name CM HEATING Number Street 1500 Industry St Apartment or Suite Number E-mail Address #200 HHAGEAGE@CMHEATING.COM City State Zip EVERETT WA 98203 Phone Number Extension (425) 259-0550 Contractor Company Name CM AIR PROS LLC Number Street 1500 INDUSTRY ST SUITE 200 Apartment or Suite Number City State Zip EVERETT WA 98203 Phone Number Extension (425) 259-0550 State License Number License Expiration Date CMAIRAP78ONH 8/8/2024 UBI # E-mail Address FD4g4gD93 HHAGEAGE@CMHEATING.COM Project Location Number Street 930 12TH PL N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00507000001301 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 Kenneth S & Kobuke Carol Nelson Number Street 930 12TH PL N Apartment or Suite Number City State EDMONDS WA Zip 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 7/18/2023 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1348302 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, interior Master Bath, Garage) Page 2 of 2