10320 7TH AVE SE 2016-11-08 - Laserfiche WebLink

� � 20 � �0 2-ZS �ECTRICAL PERMIT AP�CATION 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:10320 7TH AVE SE EVERETT WA 98208 BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $250.00 NUMBER OF DEVICES if low volta e: FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT #(if a plicable): DESCRIPTION OF WORK: INSTALL DUCTLESS SINGLE HEAD 'f `� CONTACT INFORMATION owNeR Nanne: PETER LARSEN TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTREeT8812 EASTVIEW AVE �� EVERETT STATE WA Z�P OWNER PHONE: Z-G Q� L!> �� OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: sTReer 18103 NE 68TH ST SE, C-200 cirv REDMOND srr,re WA ZiP 98052 CONTRACTOR PHONE: 425-881-7920 CONTRAC7'OR EMA�L: JW ELLS @ MMCOMFORTSYSTEMS.COM CONTRACTOR LIC. #(REQUIRE � 1�11�ACDl�(,GS�S ITY OF EVERETT BUSINESS LIC. #(REQUIRED): 054240 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-881-7920 JANETTE WELLS CON7ACTEMAtL:JWELLSC�3MMCOMFORTSYSTEMS.COM AGREEMENT: T hereby certity that l have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this type of work wi(I be completed whether specifred herein or nof. The granting of a permit does not presume to give authorrty to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property fo perform the work for whrch application is made and I compty with the State Contractors Law 18.27 RCW and 296.200 WAC. Agent Signature Date City of Everett �cial Use Only FEE � � 5��.= PERMIT # E l l� 0 ., « (Revised 10/122015)