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S u *A, <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwagov mvw.everettwagovipermits <br /> PROJECT SITE INFORMATION 7 <br /> PROJECT ADDRESS:7117 LOWER RIDGE RDAA11111EVERETT 98203 <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED enpUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: /— <br /> ELECTRIC APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 3 SO <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> INSTALL NEW s e-lepeccgi duck-ie s !Et,' 5.‘€)11.- <br /> CONTACT INFORMATION <br /> OWNER NAME: PARAMORE LINDA TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7117 LOWER RIDGE RD#A* Ctivi-14-*A-) <br /> crlY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425.446.6019 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET18103 NE 68TH ST SE, C-200 <br /> c REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQUIRED):MMOOMCS847P14— CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JANETTE WELLS CONTACT EMAIL:„WELLS 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 I 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 RCV1r and 296,200 WAG. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> Ve(741 E - 0(0 ( <br /> ( Owner/•uthorized Agent Signature Date (Revised 10/12/2015) <br />