9106 W MALL DR 2016-08-24 - Laserfiche WebLink

� � �ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:9106 WEST MALL WAY EVERETT 98208 BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ � NUMBER OF DEVICES if low volta e: FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: REPLACE FURNACE LIKE FOR LIKE ADD ON OUTDOOR HEAT PUMP CONTACT INFORMATION owNeR N,nnnE: DEBRA OTAVA TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTRe�9106 WEST MALL WAY CITY EVERETT STATE yy/y ZIP 2 OWNER PHONE: 425.760.8256 OWNER EMAIL: coNrwacTOR NaME: MM COMFORT SYSTEMS CONTw4CTOR ADDRESS: sTReeT � 8103 NE 68TH ST SE, C-200 �,T, REDMOND STATE WA Z,P 98052 CONTRACTOR PHONE: 425-581-7920 cONTtv�CTOR EnnA��: JWELLS @ MMCOMFORTSYSTEMS.COM coNTRACTOR L�c. #�REc1uiREo�: MMCOMCS850RB CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 054240 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-881-7920 JANETTE WELLS CONTACTEMAIL: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 completecf whether specfied 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. �-, �_ �r--- Agent Signature � City of Everett Official Use Only FEE � � _J r V�/ PERMIT # E I��S - i�� (Revised 10/12/2015)