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Application_1378665CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1378665 Applicant First Name Last Name CM Heating Company Name CM HEATING Number Street 1500 Industry St Apartment or Suite Number E-mail Address #200 kstaggs@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 CMAIRAP779LF 6/22/2025 UBI # E-mail Address FD4g4gD9� kstaggs@CMHEATING.COM Project Location Number Street 8303 212TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00680400100200 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 Teresa M Lucus Number Street 8303 212TH ST SW Apartment or Suite Number 2 City State EDMONDS WA Zip 98026-7450 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: 9/20/2023 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1378665 Project Type Single Family Residential Project Details Fixtures Hot Water Heater Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, interior Master Bath, Garage) Scope of Work Plumbing Page 2 of 2