4811 S 3RD AVE 2018-01-05 - Laserfiche WebLink

� �, � f��l�C� ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-z�7-8810 � FAX 425-257-8857 � (E) everetieps(�everet'twa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4811 S 3RD AVE, EVERETT WA 98203 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: $1200 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: INSTALL ELECTRICAL FOR 3 HEAD DUCTLESS HEAT PUMP CONTACT INFORMATION owNER NAME: BOB BARTLETT TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREET4811 S 3RD AVE ��n EVERETT STATE WA z�P 2 owNER PHONE:425-343-5050 OWNER EMAIL: corvTRAcroR NannE: MM COMFORT SYSTEMS COtvrt�ACTOR A�DRESS: sTReET 18103 NE 68TH ST SE, G200 cin REDMOND sTATE WA ZiP 98052 CONTRACTOR PHONE:425-343-5050 coN7'RACTOR EnnA��:PERMITS@MMCOMFORTSYSTEMS.COM CONTRACTOR��c.#�REQuiRE��:MMCOMCS847P4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055245 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 DAVI D CLU ETT CONTACT EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correck All provisions of/aws 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 consfruction. That 1 am authorized by the owner of this property to pertorm 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 � � O� ,� j� � , PERMIT# /� r/^� l �I ��G�� (, t�'(.� 9/28/2017 � 1 �D�� Own� Authorized Agent Signature Date (Revised 10/12/2015)