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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 1 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> .,PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1/2-(0 Ar (OYr AVE . <br /> i, BUILDING AREA(a residenbal,new construction,remodel,or addition <br /> ii <br /> BUILDING.TYPE: 0 SFR DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ,, 0 COMMERCIAL <br /> I USE OF BUILDING:PARCEL#0 34501900 <br /> EL TRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF VIZOR $3(90 <br /> NUMBER OF DEVICES(if low tar): <br /> FIRE ALARM? 0 YES 0 NO • <br /> ASSOCIATED BUILDING PERMIT#(if applicable) <br /> DESCRIPTION OF WORK.- <br /> Ike iM04e <br /> REPLACE •' FURNACE'�. LIKE FOR:LIKE,. <br /> I � _ <br /> CONTACT INFORMATION <br /> OWNER NAME: CHRISTINA CURTIS TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1726 HOYT AVE <br /> 1, cim' EVERETT STATE WA zip 982Q1 <br /> OWNER PHONE 425 238 1977 OWNER EMAIL: <br /> w ._ <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> ory REDMOND ........__ STATE W ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 'CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC, REQUIRl MMCOMCS839PT CITY OF EVERETT BUSINESS LIC <br /> ,• #(REQUIREt Ire . <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify):,. <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> CONTACT EMAIL:permits@mmcomfortsystems.com <br /> AGREEMENT.T hereby certify that I 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 1 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 /> pity Everett Official Use oft <br /> .tom', <br /> 4- <br /> S <br /> PERMIT# <br /> 10/17/18 <br /> E \g to - k59 <br /> 0 atizedAgent Signature '" Date (Revised 10712/2015) <br />