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Application_BLD2022-1188CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1198189 Applicant First Name CM Last Name Heating Company Name CM HEATING Number Street 1500 Industry St Apartment or Suite Number E-mail Address #200 HHAGEAGE@CMHEATING.COM City State EVERETT WA Zip 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 Everett State Zip WA 98203 Phone Number Extension (425) 259-6666 State License Number CMHEAI*095R4 License Expiration Date 5/4/2023 UBI # E-mail Address F61 1 1465g HHAGEAGE@CMHEATING.COM Project Location Number Street 8714 TALBOT RD Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00594400005502 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Brett & Kathy Last Name or Company Name Lantz Number Street 8714 TALBOT RD Apartment or Suite Number City EDMONDS State 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: 9/7/2022 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1198189 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, interior Master Bath, Garage) Page 2 of 2