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—v 2- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 –www.everettwa.org <br /> 6126 BROADWAY AYE <br /> i <br /> PROJECT ADDRESS <br /> VINCENTMOORE 6126 BROADWAY\AE4. EVERETT WA,98203 425-770-7830 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> MM COMFORT SYSTEMS 18103 NE 68TH ST, C-200 REDMOND WA/98052 425-881-7920 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> MMCOMMC925C5 350 <br /> State License Number Contract Price of Work <br /> JANET CHELGREN <br /> SINGLE FAMILY RESIDENCE <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage (If residential new construction, remodel or addition) <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: <br /> INSTALL NEW 3 HEAD DUCTLESS HEAT PUMP SYSTEM <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the E <br /> performance of con truction. That I am authorized by the owner of this property to perform the 1 <br /> work for which ap ' at n 1s mad"n comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 3/25/15 <br /> Sig,ature Date <br /> REVISED 3/20/13 <br />