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Zo�-�Q� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetfinra.gov � www.everettwa.gov/permits <br /> i:y�����;'.., ••- ', .., r�.�" � '1��, -:��' t ,�'�,x�+�� �s�-�'" a� u x�'�' i�'��«�- <br /> ,. _ <br /> ���.���� .�:`,r ,.. � ti�.. �Yk�. ..�,x: h� � y�._ '" �; _:il� ,.,C>t tq t�: �ri'� " <br /> PROJECT ADDRESS:310 58TH ST SE, EVERETT WA 98203 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> use oF sui�oiNc:PARCEL 00471700003602 <br /> � i ,.: .. . . . N@�. ;' �+ k� ',,Y� S� <br /> � <br /> 5i'. .xr"-y':� .. � ' ' . ��. . _:kReLra=•v: ': ':"v�s: fr _ .r Zu w '� �'K.,Cv.�. <br /> ft✓ [ s� <br /> x 1. <br /> :.: - . . ¢��-:: ..:c..: . .. ..':fm. _.'s»ft:.'A...:. . <�: <br /> i'! <br /> CONTRACT PRICE OF WORK: $350 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: <br /> 1NSTALL ELECTRICAL FOR NEW AIR CONDITIONER UNIT <br /> f �.; � ����� � � �,� �� <br /> ,�.�.€,- S _ �� �,�,��,:; h .� <br /> owNeR NaMe: TOM STANLEY TENANT NAME(If Commercial): <br /> OWNER MAILINGADDRESS: sixEer310 58TH ST SE <br /> ��n EVERETT STA,� WA Z�P <br /> OWNER PHONE:509-995-0795 OWNER EMAI�:STANLEY4468@COMCAST.NET <br /> CONTRACTOR NAMe: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: sTaEer 18103 NE 68TH ST SE, C-200 <br /> �,n REDMOND srn� wA Z,P 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:�WELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQUIRED): <br /> MMCOMCS847P4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ' <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JANETTE WELLS CONTACTEMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to 6e true and correct. All provisions of laws and ordinances goveming this <br /> type of work will he completed whefher 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 regulafing construction or the performance of construction. That 1 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 /> l� � D� <br /> ��j� � <br /> �r� <br /> � � PERMIT# <br /> E �� D5- b2�1 <br /> Owner/Author' d Agent Signature Date (Revised 10/12/2015) <br />