2903 RIVERVIEW BLVD 2016-10-04 - Laserfiche WebLink

� � ��o�� �ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CED^R STREET, EVERETT, WA 9a201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATIOIV PROJECT ADDRESS:2903 RIVERVIEW BLVD BUILDING AREA (if residential, new construction, remodel, or addition) SF BUIIDING 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 volta e: FIRE ALARM? ❑ YES �9 NO ASSOCIATED BUILDING PERMIT # if a licable : DESCRIPTION OF WORK: INSTALL NEW A/C UNIT AND A NEW GFCI CIRCUIT CONTACT INFORMATION ow►vER rvaME: DAVID PARKS TENANT NAME (If Commercial): OWNER MAILING ADDRESS: , srReer2903 RIVERVIEW BLVD cin' EVERETT sTnre WA ziP OWNER PHONE:425-319-1400 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: sTReer 18103 NE 68TH ST SE, G200 �,n REDMOND STATE WA Z,P 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR L�C. #�REQuiREo>: MMCOMCS850RB CITY OF EVERETT BUSINESS LIC. #(REC2uIRED): 054240 PRIMARY CONTACT: ❑ OWNER ,�YGONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-881-7920 JAN ETTE WE LLS CONTAC7 EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM AGREEMENT.� T i�ereby certify that 1 have read and examined this application and know the sarne to be true and conect. All provisions of iaws and ordinances goveming thrs type of work wi!! be completed whether spec�ed herein or not The granting of a pe�nit does not presume to give authority to violate or cance! the provisions of any other state or local law regulating construction or the per(ormance of construcfion. That 1 am authonzed 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 Si Date City of Evereft Officia! Use Only FEE PERMIT # E 1 �o � �� (Revised 10/12/2015)