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Application_1421164CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1421164 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 10018 241 ST PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00555000000200 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 Ervin J & Schmit Roxanne J Vice Number Street 10018 241 ST PL SW 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: 12/27/2023 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1421164 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, FIREPLACE REPLACEMENT Master Bath, Garage) Page 2 of 2