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BLD2021-0581_Application_4.22.2021_3.45.17_PM_2118897CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #942342 - GIFFORD MECH Applicant First Name Last Name Company Name CM Heating C.M. Heating, Inc Number Street Apartment or Suite Number E-mail Address 1415 Broadway kailana@cmheating.com City State Zip Phone Number Extension Everett WA 98201 4252596666 Contractor Company Name C M HEATING INC Number Street Apartment or Suite Number 1415 Broadway City State Zip Phone Number Extension Everett WA 98201 (425) 259-6666 State License Number License Expiration Date UBI # E-mail Address CMHEAI*095R4 5/3/2021 FD1 1 1465g kailana@cmheating.com Project Location Number Street Floor Number Suite or Room Number 18719 94TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00434600006702 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 Daniel William & Gail Butler Gifford Number Street Apartment or Suite Number 18719 94TH AVE W City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 4/22/2021 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #942342 - GIFFORD MECH Project Contact Company Name: C.M. Heating, Inc Name: CM Heating Email: kailana@cmheating.com Address: 1415 Broadway Phone #: 4252596666 Everett WA 98201 Project Type Single Family Residential Project Name: GIFFORD MECH Description of Work: ADD AC Project Details Activity Type Repair or Replacement HVAC Systems Air Conditioner Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 BACKYARD Scope of Work Mechanical Page 2 of 2