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0 0 2o1(v02cf -�> <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:118 94TH ST SE <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 BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $440 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: <br /> INSTALL SINGLE HEAD DUCTLESS HP SYSTEM AND NEW GFCI CIRCUIT <br /> CONTACT INFORMATION <br /> OWNER NAME: LORETTA GUERRAZZI TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 118 94TH ST SE <br /> cin EVERETT STATE WA zip 98208 <br /> OWNER PHONE:425-210-6615 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 1CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQUIRED):MMCOMCS85ORB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054240 <br /> PRIMARY CONTACT: ❑OWNERAL <br /> CONTRACTOR 11OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JANETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> AGREEMENT.T hereby certify that t 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 worts 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 <br /> local law regulating construction or the performance of construction. That t 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 <br /> �I�lo� <br /> PERMIT# <br /> 3/24/16 ` l vC 0 l <br /> Own r Age Signature Date (Revised 10/12/2015) <br />