1925 MELVIN AVE 2016-10-03 - Laserfiche WebLink

� � � ` l.� � � - � �ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 9a201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE II�FORM/�iT10N PROJECT ADDRESS: 1925 MELVIN AVE BUILDING AREA (if residential, new construction, remodei, or addition) SF BUILDING TYPE: SF - TACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 350 NUMBER OF DEVICES if low voita e): FIRE ALARM? ❑ YES N ASSOCfATED BUILDING PERMIT # if a licable : DESCRIPTION OF WORK: INSTALL NEW A/C UNIT CONTACT INFORMATION owNER NAME: MARVIN PATTERSON TENANT NAME (IfCommercial): OWNER MAILING ADDRESS: sTREEr 1925 MELVIN AVE ��n EVERETT STATE WA z�P OWNER PHONE:425-210-6630 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, G200 �,n REDMOND STATE WA Z,P 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR LIC. #(REQUIRED): MMCOMCS850RB CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 054240 PRIMARY CONTACT: ❑ OWNER , ONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-881-7920 JAN ETTE WELLS coNTACT EMA�L: JWELLS@MMCOMFORTSYSTEMS.COM AGREEMENT: T hereby ceRrfy that 1 have read and exarnrned this application and know the same to be true and correct. All provisions ot laws and ordinances goveming this rype of work wrl! be completed whether spec�ed harein or not The granting of a permit dces not presume to give authority to vio7ate or cancel the provisions of any other state or local law regulating construction or the performance of consbuction. That 1 am authorized by the owner of this property to perform the wortc for which application is made and ! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. Agent 5/9/16 Date City of Everett O�cial Use Only F ��^ QlJ 1 � PERMIT # E �� 'd�L�� (Revised 1Q/12/2015)