10601 9TH DR SE 2019-09-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION /410 "c417-4 ;. , CITY OF EVERETT PERMIT SERVICES 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: PROJECT ADDRESS:10601 9th Dr SE BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ISFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ' ELECTRICALAPPLICATION INFORMATION CONTRACT PRICE OF WORK: $550 NUMBER OF DEVICES(if low voltage) FIRE ALARM? 0 YES XNO ASSOCIATED BUILDING PERMIT#(if applicable); DESCRIPTION OF WORK: two head mini split i CONTACT INFORMATION ,OWNER NAME: Lee & Pam Stoll TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10601 9th Dr SE CITY EVERETT STATE WA. ZIP •. •; OWNER PHONE:206 818 0879 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 ciTv REDMOND STATE WA zip 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM CONTRACTOR LIC:tkREQuIREpyMMCOMCS839PT CITY OF EVERETT BUSINESS LIC.#(REOU!RED) 0552itt PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:42'5-881-7920 Jenah Barlow CONTACT EMAIL:permits@mmcomfortsystems.com AGREEMENT.'T hereby certify that I have read and examined this application and know the same to be true and correct. Al/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 I 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 18,27 RCW and 296,200 WAC, qty of Everett Official Use Only *FEE few\ PERMIT# ' , E Q . 1. -04q Oe�Orized Agent Signature Date xaf (Revised 10/12/2015)