5831 25TH AVE W 2018-04-16 - Laserfiche WebLink

1111.PP' El-glirRICAL PERMIT APPLkATION , ..- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettvva.gov I wwsAf.everettwa.gov/perrnits It',,, ...e.,03aE9T 410-11-446FIMATi°N PROJECT ADDRESS: 5831 25TH AVE W, EVERETT WA 98203 BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED XtSFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: • ``-'''64!.1 e*F0L,APPLIcAti9A1NF-9404:Tat9n4" ,Iii:fik'5,4i, ' 1 CONTRACT PRICE OF WORK $350 I , NUMBER OF DEVICES (if low oltage): FIRE ALARM? 0 YES NO 1 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1 I INSTALL NEW ELECTRICAL FOR A/C UNIT NTACTINFt*MATION '-: - ' OWNER NAME: GERALD HUSSEY TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET5831 25TH AVE W CITY EVERETT STATE WA BP 98203 OWNER PHONE1425-543,-0758 OWNER EMAIL:GERALDHUSSEY@COMCAST.NET 1 CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 ciTy REDMOND STATE WA 98052 ZIP 1 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERM ITS@MMCONIFORTSYSTEMS,COM CONTRACTOR LIC.NREQUIRED):MMCOMCS839PT CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JAN ETT E WELLS CONTACT EmmL:JWELLS@M MCOIVIFORTSYSTEMS.COM AGREEMENT:Thereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this !'r 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 lam authorized by the owner of this property to perform the work for which application is made end! comply with the State Contractors Law 18.27 RCVV and 296.200 WAC. City of Everett Official Use Only FEE '-4- e------ i f PERMIT* ,00.114e - liosila E k SO - 03 5 I, *wirer/Au, orlzed Agent Signature Date (Revised 10/12/2015) 1