607 57TH ST SW 2017-01-13 - Laserfiche WebLink

�ECTRICAL PERMIT AF�ICATION �� `�Z 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: 607 57TH ST SW BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL usE oF sui��irv�:SINGLE FAMILY RESIDENCE ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $304 NUMBER OF DEVICES if low volta e): � FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT #(if a licable : DESCRIPTION OF WORK: GAS FURNACE REPLACEMENT WITH A NEW A/C UNIT. INSTALL NE�r GFCI CIRCUIT CONTACT INFORMATION OWNER NAME: CATHERINE SANETRA TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTREEr 607 57TH ST SW �,n EVERETT STATE WA Z,P 98203 OWNER PHONE:425-577-4440 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: srReeT 18103 NE 68TH ST SE, C-200 �,n REDMOND STATE wA Z,P 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAI�:JWELLS�a MMCOMFORTSYSTEMS.COM CONTRACTOR uC. #{REQuiREo>: MMCOMMC925C5 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 054240 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACTNAME_JANETTE WELLS CONTACTEMAILE�WEL8LS@MMCOMFORTSYSTEMS.COM AGREEMENT: T hereby certify that I have read and examined this application arrd know the same fo be true and correct. All provisions of laws and ordinances governing thrs type of work will be completed whether specified herein or rrot. The grantirg of a permit cioes nof presume to give authority to violate or cancel the provisions of any other state or local law regu(ating construction or the ;oerlormartce of construction. That 1 am authorized by the owner of this properiy to perform the work for which application is made and 1 comply wrth the State Contractors Law i8.27 RCW and 296.200 W,4C. �'-��-�� zed Agent Signature/ Date City of Everett Oflrcia! Use Only FEE � �� PERMIT # E � (�O l- �� (Revised 10/12/2015)