1018 109TH ST SE 2016-09-15 - Laserfiche WebLink

*ECTRICAL PERMIT A4ICATION 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:1018 109TH ST SE 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: $350 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: INSTALL NEW SINGLE HEAD DUCTLESS HP SYSTEM CONTACT INFORMATION OWNER NAME: LARRY HACHTEL TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET 1018 109TH ST SE CITY EVERETT SrATE WA zip 98208 OWNER PHONE:425-367-3031 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 CITY REDMOND STATE WA "P 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 PHONE:425-881-7920 CONTACT NAME:JAN ETTE WELLS CONTACT EMAIL:JWEL S@MMCOMFORTSYSTEMS.COM 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 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 perfonn the work for which application is made and I comply with the State Contractors Law 16.27 RCW and 296.200 WA C. City of Everett Official Use Only FEE � °q PERMIT# 3/14/16 E `6z,-O q r � ` 5 Owner/Aut e 9 76 gnature Date (Revised 10/12/2015)