5428 25TH AVE W 2016-06-02 - Laserfiche WebLink

2tepO(tog" RECTRICAL PERMIT APPICATION I�►�> > , CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:5428 25TH AVE W BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPER-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $350 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: install gas furnace,like for like in the same location and install new heat pump and install new thermostat CONTACT INFORMATION OWNER NAME: CINDY&STEPHEN HEGGE TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5428 25TH AVE W CITY EVERETT STATE WA zip 98203 OWNER PHONE:425-387-1055 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 CITY REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR LIC.#(REQUIRED):MMCOMMC925C5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054240 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JAN ETTE WE LLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM AGREEMENT:T hereby certify that 1 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 perfonnance of construction. That lam authorized by the owner of this properly to perfonn the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Cl E ( �O'vi � 0 r/Authorized •,; nature Date (Revised 10/12/2015)