Laserfiche WebLink
� <br />� <br />�ECTRICAL PERMIT AP�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � wwvv.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS:4732 SEAHURST AVE <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE' �HED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ 375 <br />NUMBER OF DEVICES if low volta e): � <br />FIRE ALARM? ❑ YES NO <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />DESCRIPTION OF WORK: <br />GAS FURNACE REPLACEMENT AND INSTALL NEW THERMOSTAT <br />CONTACT INFORMATION <br />OWNER NAME: �EROME VOSS TENANT NAME (If Commercialj: <br />OWNER MAILING ADDRESS: srtzeEr4732 SEAHURST AVE <br />��n EVERETT STATE WA Z�P <br />oWnIER PHo►vE:425-750-3437 OWNER EMAIL: <br />CONTRACTOR NAME: MM COMFORT SYSTEMS <br />coNTRacroR a�oREss: STREET 18103 NE 68TH ST SE, G200 <br />�,n REDMOND STATE wA Z,P 98052 <br />CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM <br />CONTRACTOR LIC. #(REQUIRED). MMCO(aCS ITY OF EVERETT BUSINESS LIC. #(REc1uIRED>: 054240 <br />PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) <br />�oNTA�T NAME. JAN ETTE WE LLS CONTACT EMAILEJWEL8LS@MMCOMFORTSYSTEMS.COM <br />AGREEMENT.� T hereby certify that 1 have iead and examined this appfrcatron and know the same to be true and carect. AII provisions oflaws and ordinances goveming fhis <br />type of work will be completed whether specified herein or not. The granting of a pemiit dces not presume to give authority to violate or cancel the provisions of any other state or <br />tocat taw regulating construction or the performance of constraction. That f am authorized by the owner of this p�operty to per(om� the work for which application is made and ! <br />comply with fhe State Contracto�s Law 18.27 RCW and 296.200 WAC. <br />City of Everett O(ficial Use Only <br />FEE <br />� <br />� � ��� <br />�� <br />PERMIT # <br />E I (�G � �- �� C�� <br />(Revised 10/12/2015J <br />