11925 SILVER LAKE DR 2017-07-17 - Laserfiche WebLink

6-"ECTRICAL PERMIT ARI LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:11925 SILVER LAKE DR 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: $420 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: GAS FURNACE REPLACEMENT WITH AN A/C ADD ON. INSTALL GFCI CIRCUIT CONTACT INFORMATION OWNER NAME: KRISTINE ISENHART TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11925 SILVER LAKE DR CITY EVERETT STATE WA zip 98208 OWNER PHONE:425-205-3754 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 CITY REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE.425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR LIC.#(REQUIRED):MMCOMCS85ORB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054240 PRIMARY CONTACT: ❑OWNER PTCO-NTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JAN ETTE WE LLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM 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 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 local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �co PERMIT# Owner/Authorized A0 t Signature Date (Revised 10/12/2015) Iii