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4/77- 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@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 7424 UPPER RIDGE ROAD EVERETT WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $350 <br /> NUMBER OF DEVICES (if low voltage): `I <br /> FIRE ALARM? ❑YES ❑ tsli <br /> ASSOCIATED BUILLIING PERMIT#(if applicable): <br /> :__ <br /> DESCRIPTION OF WORK . <br /> INSTALL NEW GAS FURANCE, HEAT PUMP, PURE AIR AND WATER HEATER <br /> CONTACT INFORMATION <br /> OWNER NAME: MICKEY MCLAVEY TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET7424 UPPER RIDGE ROAD <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425 512-0740 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> crn' REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQUIRED):MMCOMCS839PT CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055245 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: ^ /� CONTACT PHONE:425-881-7920 <br /> J E NAH BARLOW .CONTACT EMAIL:PERMITS©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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> 2 -1 E <br /> Owne0Authorized Agent Signature Date (Revised 10/12/2015) <br />