4827 DELAWARE AVE 2020-02-06 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 0000.00, :liWe, 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:4827 Delaware Ave 00410200011000 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; 0 COMMERCIAL USE OF BUILDING` ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$550 NUMBER OF DEVICES(if low voltage): FIRE ALARM?- ❑YES ❑NQ ASSOCIATED BUILDING PERMIT#(if ap(alicable) DESCRIPTION OF WORK: FURNACE CHANGEOUT CONTACT INFORMATION OWNER NAME: Richard $lovek TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET4827 Delaware Ave CITY EVERETT STATE WA ZIP 94.203 OWNER PHONE:425)252-9876 OWNER EMAIL:richard.j.slovek@gmail.com CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 CITY REDMOND WA STATE ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM CONlRACTOR_LIC.#(RECIUIREthz#(REQUIRED) MMCOMCS839PTCITY OF EVERETT BUSINESS LIC.#(REQU RED). 05 .45 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: !CONTACT PHONE:425-881-7920JEN . AH BARL CONTACT EMAIL:Permits@mmeomfortsystems.corn 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 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 constructions.That I am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296;200 WAC, City of Everett Official Use Only FEE ~ PERMIT r E k °L . 020 Owt rIA netixed`Agent Signature ate (Revised 10/12/2015)