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Application_1389070CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1389070 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 CMAI RAP78ONH 8/8/2024 UBI # E-mail Address FD4g4gD9� KSTAGGS@CMHEATI NG.COM Project Location Number Street 702 9TH AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00548900000706 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 Lionel P & Janice L Kagley Number Street 702 9TH AVE 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: 10/12/2023 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1389070 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details Heaters Fireplace Insert - Gas 1 Work Location Work Description/Location (example: 1st floor, GAS FIREPLACE REPLACEMENT Master Bath, Garage) Page 2 of 2