5515 EAST DR 2018-05-01 - Laserfiche WebLink

�LECTRICAL PERMIT APPLICATION _ • CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everetfinra.gov/permits �� t.�.. '�� , � ��, ,� � ��,PR��JE4� S TE !� F��MATrON�� , � ; � �{ �� . . �". �,.. .-�'.��'. ��„ �.� ��-�, ��..-.�.,��c _��_ -�. .r_�=.0 '�,.r _�. ..s� �- ,� ,� PROJECT ADDRESS: EVERETT WA 98203 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: `' �� ' E ECTRICAL`APPLI�'CATION�INFORMATION _ .nk.bf. ....Y. .;G;�;. CONTRACT PRICE OF W $350 NUMBER OF DEVICES if lo volta e . FIRE ALARM? ❑YE ❑ NO ASSOCIATED BUILDING PE #(if applicable): DESCRIPTION OF WORK: HEAT PUMP � � : �: �. , � ` - CONTACT INFORMATION � n z `�` ' _� ' �.� �... _.�t.�. - �.. ��... OWNER NAME: COUf'tt1G Shick TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReeT5515 East Drive cir' EVERETT STATE WA ziP OWNER PHONE:651-341-7982 OWNER EMAIL: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ __ CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: sTReer 18103 NE 68TH ST SE, C-200 cin REDMOND STATE WA ZiP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAI�:�WELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR�IC.#�REQuiRE�):MMCOMCS839PT CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055�45� PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JANETTE WELLS CONTACTEMAIL:JWELLS@MMCOMFORTSYSTEMS.COM 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 type of work wiil be completed whether specified herein or not The granting of a permit does not presume fo give authority to violate or cancel the provisions of any other state or 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �� — PERMIT# 2' �� E l.�'� 2.-� ��o � Own r/ uthorized Agent Signature Date (Revised 10/12/2015)