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/IP- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:10113 31st AVE SE <br /> 1 BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $550 <br /> NUMBER OF DEVICES(if low voltage <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable); <br /> 1 DESCRIPTION OF WORK: <br /> AC ADD ON <br /> „ . . <br /> CONTACT INFORMATION <br /> OWNERNAMIE: Timothy Ramberg. TENANT NAME(If Commercial) <br /> OWNER MAILING ADDRESS: STREET 10113 31st AVE SE <br /> clrY EVERETT STATE WA ZIP„98203 <br /> OWNER PHONE:425-239-6344 OWNER EMAIL timramberg@hotmail.com <br /> i <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE,C-200 <br /> CITY REDMOND STATE WA 98052 <br /> CONTRACTOR PHONE 425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC, REQUIRED).MMCOMCS839PT !CITY OF EVERETT BUSINESS LIC.I REQU$RED) 055245 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify), <br /> CONTACT NAME; CONTACT PHONE:425-881-7920 <br /> J E NAH BA `LO Y Y CONTACT EMAIL.permits@mmcomfortsystems.com <br /> AGREEMENT:T hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> local law regulating construction or the performance of construction. That i am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC, <br /> City of Everett Official Use Only <br /> g FEE <br /> 416, gt/1 <br /> PERMIT# <br /> . E 10 n t- i()5 <br /> • , 8r" uth .1 ,.,Agent Signature Date <br /> g g (Revised 10112/2015) <br />