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BLD2021-0863_Application_6.21.2021_12.28.53_PM_2260730CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #980505 - FOSHEIM MECHANICAL 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 5/4/2023 F61 1 1465g kailana@cmheating.com Project Location Number Street Floor Number Suite or Room Number 7610 173RD ST SW City Zip Code County Parcel Number EDMONDS 98026 00681600001000 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 GRANT FOSHEIM Number Street Apartment or Suite Number 7610 173RD ST SW City State Zip EDMONDS WA 98026 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: 6/21/2021 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #980505 - FOSHEIM MECHANICAL 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 Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: FOSHEIM MECHANICAL Description of Work: AC INSTALLATION Project Details HVAC Systems Air Conditioner 1 Work Location Work Description/Location (example: 1st floor, EXTERIOR OF HOME Master Bath, Garage) Page 2 of 2