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Application_1195006CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1195006 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 C M HEATING INC Number Street 1500 Industry ST Apartment or Suite Number Suite 200 City State Zip Everett WA 98203 Phone Number Extension (425) 259-6666 State License Number License Expiration Date CMHEAI*095R4 5/4/2023 UBI # E-mail Address FD1 1 14F;5g HHAGEAGE@CMHEATING.COM Project Location Number Street 7700 175TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27040700402700 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 Marni Muir Number Street 7700 175TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 8/30/2022 Submitted By: CM Heating Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1195006 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Work Description/Location (example: 1 st floor, interior / exterior Master Bath, Garage) Scope of Work Mechanical Page 2 of 2