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2.0L(„o47a <br />OLECTRICAL PERMIT AWICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 1206 100TH CT SE <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: R -DETACHED ❑ SFR -ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: <br />CONTACT INFORMATION <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ <br />j (� <br />NUMBER OF DEVICES if low voltage): <br />OWNER EMAIL: <br />FIRE ALARM? ❑ YES <br />CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br />ASSOCIATED BUILDING PERMIT # <br />if applicable): <br />DESCRIPTION OF WORK: <br />CONTRACTOR LIC. #(REQUIRED): MMCOMCS85OR6 <br />INSTALL NEW AC UNIT <br />PRIMARY CONTACT: ❑ OWNER 41�ONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />JAN ETTE WE LLS <br />CONTACT PHONE: 425-881-7920 <br />CONTACT EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM <br />CONTACT INFORMATION <br />OWNER NAME: GRACE TING TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET 1206 100TH CT SE <br />CITY EVERETT STATE WA zip 98208 <br />OWNER PHONE: 206-618-4022 <br />OWNER EMAIL: <br />CONTRACTOR NAME: MM COMFORT SYSTEMS <br />CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br />CITY REDMOND STATE WA ZIP 98052 <br />CONTRACTOR PHONE: 425-881-7920 <br />CONTRACTOR EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM <br />CONTRACTOR LIC. #(REQUIRED): MMCOMCS85OR6 <br />CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 054240 <br />PRIMARY CONTACT: ❑ OWNER 41�ONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />JAN ETTE WE LLS <br />CONTACT PHONE: 425-881-7920 <br />CONTACT EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM <br />AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br />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 <br />local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />Agent <br />4/25/16 <br />Date <br />City of Everett Official Use Only <br />FEE <br />/ <br />PERMIT # <br />E 1WI �1 <br />(Revised 10/12(2015) <br />