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Application_1397550CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1397550 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 10705 ROBIN HOOD DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00571300100400 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 Michael C & Lori L Sprouse Number Street 10705 ROBIN HOOD DR Apartment or Suite Number City State EDMONDS WA Zip 98020-6162 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: 10/31/2023 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1397550 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