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Zn�5c�23o <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />10116 27TH DR SE <br />PROJECT ADDRESS <br />MONNY DRAKE 10116 27TH DR SE EVERETT WA 98208 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />MM COMFORT SYSTEMS 18103 NE 68TH ST, C-200 REDMOND <br />Electrical Contractor Mail Address City <br />MMCOMMC925C5 <br />State License Number <br />SINGLE FAMILY <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />State/Zip Phone <br />WA/98052 425-881-797.0 <br />State/Zip Phone <br />� <br />Contract Price of Work <br />JANET CHELGREN <br />Contact Person (Plan Review) <br />Description of Work to Be Done: REPLACE FURNACE AND THERMOSTAT WITH NEW <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify fhat 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of constructi ..That l am authorized by the owner of this property to perform the <br />work for which applicatiqh�� made and 1 co�ply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. , ' ! ''�, <br />REVISED 320/13 <br />FEE � <br />� � �, <br />PERMIT# <br />E ��D �-0 7� <br />