307 ELM ST 2019-09-04 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION - - CITY OF EVERETT PERMIT SERVICES E 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION i PROJECT ADDRESS:307 Elm St I BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL i. �, USE OF BUILDING: S\V( 'Ye icl,b/`4 k r J ELECTRICAL APPLICATION INFORMATION 1 CONTRACT PRICE OF WORK: $550 i NUMBER OF DEVICES(if low voltage):1 FIRE ALARM? ❑YES I:N° I ASSOCIATED,BUILDINGPERMIT#(if applicablejL DESCRIPTION OF WORK: FURNACE CHANGE OUT 1 .,.. AII.' CONTACT INFORMATION iOWNER NAME: Stephen Trent TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREEr307 Elm St CITY EVERETT _... STATE WA ZIP 91 _. OWNER..PHONE:425 220 6155 O1i.NER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS:_ STREET 18103 NE 68TH ST SE,C-200 CITY REDMOND STATE WA ZIP .98052 I CONTRACTOR PHONE:425-881-7920CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM 1 CONTRACTOR LIC.: REQt)tltEf!):MMCOMCS839PT [CITY OF EVERETT BUSINESS LIC. REQUIRED PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify),. CONTACT NAME: CONTACT PHONE:425-881-7920 JENAH BARLOW c CONTACT EMAIL permits@mmcomfortsystems.com AGREEMENT:-T hereby certify that-1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction, That 1 am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200 WAC City of Everett Official Use Ont FEE SO PERMIT# ` ib) E 1 I2 C.2,owns` . .`$x>> .tiont,Signature Date (Revised 10/12/2015)