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��r��9'�.� <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@everettwa.gov� www.everettwa.gov/permits <br /> ., .z ,:� _,_ _�. <br /> ��. <br /> ` :PROJEGT �['CE°INFORMATION � <br /> PROJECT ADDRESS: 12 60TH PL SE, EVERETT WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: � SFR-DETACHED ❑SFR-ATfACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: <br /> ` " ELECTRICAL APPLICATION INFORMATION ' <br /> CONTRACT PRICE OF WORK: $$50 <br /> NUMBER OF DEVICES (if low volta e): <br /> FIRE ALARM? ❑YES �NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> INSTALL ELECTRICAL FOR NEW AC UNIT <br /> CONTACT INFORMATION : <br /> OWNER NAME: ISAAC ARELLIN TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReeT 12 60TH PL SE <br /> cin' EVERETT STATE WA ziP <br /> OwNER PHONE:425-903-6973 OWNER EMAIL: <br /> _ _ _ _ <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: sTReeT 18103 NE 68TH ST SE, C-200 <br /> cin REDMOND STATE WA ZiP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTR�4CTOR EMAI�:PERMITS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQuiRE�):MMCOMCS847P4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055245` <br /> PRIMARY CONTACT: ❑OWNER [�CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> DAVI D CLU ETT CONTACT EMAIL:pERMITS@MMCOMFORTSYSTEMS.COM <br /> AGREEMENT.�T hereby 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 <br /> type of work will be complefed 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 Sfate Contractors Law 98.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE� <br /> �� �� <br /> � <br /> � <br /> PERMIT# <br /> �j�� E1 � <br /> V�U 7-24-17 t� O� � � <br /> Owner/Authorized gent Signature Date (Revised 10/12/2015) <br />