4811 GARDNER AVE 2016-08-22 - Laserfiche WebLink

9LECTRICAL PERMIT A*LICATION E CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: C41 I BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ICI SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 175 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: 'Ham&le- CONTACT INFORMATION OWNER NAME: � �.� S�j /� I TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET A f. �• _� ,1 CITY �v -�-�%ZT STATE ZIP ,- OWNER PHONE: �t �� < � � �` OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 CITY REDMOND SFArE 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: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JANETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM AGREEMENT.Thereby 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 performance of construction. That I am 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 PERMIT# 15 �I Eb" 2-, Owner/Authorized Agent nature Date (Revised 10/12/2015)