603 100TH PL SE 2016-10-25 - Laserfiche WebLink

�-D((o(O�� �ECTRICAL PERMIT A�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 603 100TH PL SE BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING 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 voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: INSTALL SINGLE HEAD DUCTLESS HP SYSTEM CONTACT INFt3RMATION owrvER NaME: RICHARD VANTASSEL TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREEr603 100TH PL SE ��n EVERETT STATE WA Z�� OWNER PHONE:425-220-5605 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: srRe� 18103 NE 68TH ST SE, G200 �,n REDMOND STATE WA Z,P 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR uC. #�{REQuiREo>: MMCOMCS850RB CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 054240 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER {Please Specify} CONTACT NAME: CONTACT PHONE:425-881-7920 JANETTE WELLS CONTACTEMAIL:JWELLS@MMCOMFORTSYSTEMS.COM AGREEMENT_ T hereby certrfy that t have read and examined this applrcation and know f/te same to be true and correct. A!l provisions of laws and ordinances governing this type of work will be completed whether specifred herein or not. The granting of a permif does not presume to give authority to violate or cancel the provisions of any other state or local faw regulating consfructron or the performarrce of construction. That 1 am authorized by the owner of this property to perform the work for which app(icatron is made and 1 compty with the State Confractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �� PERMIT # E ��o��'1 (Revised 10/12/2095)