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t1i212_ <br /> ELECTRICAL PERMIT APPLICATION <br /> 47 CITY OF EVERETT PERMIT SERVICES 2D <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> .. a .. ,A G C a Ys i .f B 6- r J .a; <br /> PROJECT ADDRESS: 2209 23RD ST EVERETT WA 98201 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> >'�..:'..:�,�.�. ,r_�.s.�;"-'.%"�',;�€;,n,rx-�k+;�'tii,' ��„ Y 3-7 } .Y :.�. ,� . `�, � � :.y-.. �"�`�,' kwi,` .�X+�`ai=�-�mc.� 'm-'�`x.�yy".�,. "" <br /> t. '�M." m§ tt W„ i i 1, i s s .i i 7 t 7 3 ffi. 0 . i 1 'i�- X111 <br /> 3 <br /> .,, x....,... ... .,..�.,. s,...�.....,..;f r, kvs�..�.+;V§�:'' .�_2� �� .���,. ..r.�-1asr�ay �a ?��'3�'a� tea_ °?.z.. :m_a ..._._. <br /> CONTRACT PRICE OF WORK:$350 <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 /> 2 HEAD DUCTLESS HP INSTALL <br /> - TL� s �: �: i:�'3, --`�-v� G 0 V G f�,.t � 9'a, � Y "t` � �J�,4°w".T ��'' :s `.� � ;,-a ._tet' �` <br /> sk'k s��a w,a,rE',:. ate`. a e .` Y;ilka � {r» ;.i. -..x 1. R..Y uC f .i,''" ,Li'^�-'r.'�t s. �J ,za+ . a.ys <br /> OWNER NAME: DEWAYNE JOHNSON TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREEr2209 23RD ST <br /> CITY EVERETT STATE WA zip •;2.1 <br /> OWNER PHONE:425 879-1304 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> are REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQUIRED):MMCOMCS847P4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): p <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:JWELLS@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 /> "Date � E t /t 1 -. 0 33 <br /> Owner/Authorized gent Signature Date (Revised 10/12/2015) <br />