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� <br />� <br />zfl« d��7 <br />�ECTRICAL PERMIT A�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 � wvvw.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 1506 PINE ST <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: $ �� <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 />INSTALL 3 HEAD DUCTLESS HP SYSTEM <br />CONTACT INFORMATION <br />owNER NannE: VIOLETA SANDU TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: srReEr 1506 PINE ST <br />��n EVERETT STATE WA Z�P 2 � <br />OWNER PHONE:425-830-8888 OWNER EMAIL: <br />coruTw�CTOR NAME: MM COMFORT SYSTEMS <br />coNTRACTOR ADDRESS: srReeT 18103 NE 68TH ST SE, G200 <br />GTY REDMOND STATE WA Z,P 98052 <br />CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM <br />CONTRACTOR LIC. #(REQUIRED): MMCOMCSHSORB CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 054240 <br />PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 425-881-7920 <br />JAN ETTE WE LLS CONTACT EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM <br />AGREEMENT: T hereby certlfy that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this <br />type of work wrll be completed whether spec�ed herein or not. The granting of a permit dces not presume to give authority to violate or cancel the provisrons of any other state or <br />loca! law regulatrng consbucYron or the perfom�ance of construction. That f am authorized by the owner of this property to perfo�m the work for which application is made and I <br />comply with the State Contractors taw 18.27 RCW and 296.200 WAC. <br />Date <br />City of Everett OKicial Use Only <br />FEE <br />1A� <br />PERMIT # <br />E �� � . � � � ,� ��� ; <br />(Revised 10/12/2015) <br />