5607 BEVERLY LN 2016-07-29 - Laserfiche WebLink

ECTRICAL PERMIT AF ,ICATION /�►� CITY OF EVERETT PERMIT SERVICES ( lJ l I 7 ( I 2_ 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:5607 BEVERLY LANE BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ,SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $480 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES I, NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: REPLACE ELECTRIC FURNACE WITH NEW AND INSTALL A NEW HP CONTACT INFORMATION OWNER NAME: CAROLYN MINCKLER TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5607 BEVERLY LANE CITY EVERETT STATE WA ZIP 98203 OWNER PHONE:425-244-0191 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 carr REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR UC.#(REQUIRED):MMCOMCS85ORB 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 WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM 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 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 lam authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 15-t PERMIT# Owner/Autho" e gent Signature ate /� (Revised 10/12/2015)