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Application_1200764CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1200764 Applicant First Name Last Name CM Heating Company Name CM HEATING Number Street 1500 Industry St Apartment or Suite Number E-mail Address #200 BMILLER@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 BB111465g BMILLER@CMHEATING.COM Project Location Number Street 9627 242ND PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00450300000102 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 Jonas & Sarah Royer Koster Number Street 9627 242ND PL SW Apartment or Suite Number City State EDMONDS WA Zip 98020 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: 9/12/2022 Submitted By: CM Heating Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1200764 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, Master Bath, Garage) garage Page 2 of 2