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CTRICAL PERMIT APPPCATION <br /> "- i. Ojerr CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I vwvw.everettwa.gov/permits <br /> PROJECT SITE INFORMATION p <br /> amu.....,... +.. IV <br /> c = ....� _.. <br /> PROJECT ADDRESS: EVERETT WA 98203 J q Ibu c 1i1 VI , 0� <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 /> ELECTRICAL APPLICATION INFORMpT10N <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: the J 'neat ‘-nv 1)% (l <br /> CONTACT INFORMATION<,;LL <br /> OWNER NAME: 0e1111:1 \ \ ,v ',\( TENANT� NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET g i Old gfih eve, ( <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: (124- ^)53•()c-)U) OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> CITY 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): ',055245;: <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JANETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> AGREEMENT.'T hereby certify that I have read and examined this application and know the same toe 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 /> 2S <br /> PERMIT# <br /> 2 •S• ‘v E t$02, -DIA ( <br /> Owner/ orize gent Signature Date (Revised 10/12/2015) <br />