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PLECTRICAL PERMIT AFOLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:5103 W HIGHLAND RD <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDI G: C�1 <br /> t <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $450 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: <br /> INSTALL NEW HEAT PUMP AND NEW GFCI CIRCUIT. <br /> CONTACT INFORMATION <br /> OWNER NAME: Andrea Robertson TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: s.REET5103 W HIGHLAND RD <br /> CITY EVERETT STATE WA zip 98203 <br /> OWNER PHONE:425-891-1296 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQUIRED):MMCOMMC925C5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054240 <br /> PRIMARY CONTACT: ❑ OWNER ONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JAN ETTE WE LLS CONTACT EMAIL:JWELLS@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 specrred 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 /> City of Everett Official Use Only <br /> FEE ��rr�� <br /> l.c <br /> PERMI�T//# <br /> - nie <br /> 2/12/16 E 1 `C 02, <br /> Owner/Autho eDate (Revised 10/12/2015) <br />