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, <br /> ELECTRICAL PERMIT APPLICATION <br /> , ; = CITY OF EVERETT PERMIT SERVICES <br /> I 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 /> x <br /> :� > ; PROJECT SITE-INFORMATION <br /> PROJECT ADDRESS:3007 17th_ST <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: _ 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> 1 CONTRACT PRICE OF WORK: $550 <br /> NUMBER OF DEVICES(if low voitaEtel: <br /> FIRE ALARM? ..._...... ❑YES 0 NO <br /> 1 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> air,lhandler and heat dump <br /> ate..... . <br /> CONTACT INFORMATION <br /> OWNER NAME: Autumn Baird TENANT NAME(If Commercial}: <br /> OWNER MAILING ADDRESS: STREET 3007 17th ST <br /> cnY EVERETTSTATE WA zip 98201 <br /> OWNER PHONE:425-418-9110 <br /> _1OWNER EMAIL:autumnbaird@gmail.com <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> tCONTRACTOR ADDRESSt, STREET 18103 NE 68TH ST SE,C-200 <br /> crry REDMOND STATE WA zip 98052 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#REQUIRED:MMCOMCS839PT CITY OF EVERETT BUSINESS LIC.#REQUIRED 055 c : <br /> PRIMARY CONTACT ❑OWNER NTRACTOR ❑OTHER(Please Specify},, <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JenahR <br /> Barlow 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!am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAG <br /> ,Oitzof Everett Official Use Only <br /> ter' <br /> FEE — <br /> ,q ,_ <br /> r' <br /> PERMIT# <br /> D2 OLf 3 <br /> Ownear/A eilzetAgent .. '.< Date (Revised 10/12/2015) <br />