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BLD2022-0342_Application_3.21.2022_7.02.11_AM_2748997CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1110779 - NOEDEL MECH PERMIT Applicant First Name Last Name Company Name CM Heating CM HEATING Number Street Apartment or Suite Number E-mail Address 1415 Broadway HHAGEAGE@CMHEATING.COM City State Zip Phone Number Extension EVERETT WA 98201 4252590550 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 HHAGEAGE@CMHEATING.COM Project Location Number Street Floor Number Suite or Room Number 9133 183RD PL SW City Zip Code County Parcel Number EDMONDS 98020 00588200000501 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 Samuel Singer\ Codi Noedel Number Street Apartment or Suite Number 9133 184TH ST SW 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: 3/21/2022 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1110779 - NOEDEL MECH PERMIT Project Contact Company Name: CM HEATING Name: CM Heating Email: HHAGEAGE@CMHEATING.COM Address: 1415 Broadway Phone #: 4252590550 EVERETT WA 98201 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: NOEDEL MECH PERMIT Description of Work: GAS FURNACE/ HEAT PUMP INSTALL Project Details HVAC Systems Furnace 1 Heat Pump 1 Work Location Work Description/Location (example: 1st floor, INTERIOR/ EXTERIOR Master Bath, Garage) Page 2 of 2