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7 - 1 (51-t) <br /> 4Err ELECTRICAL PERMIT APPLICATION <br /> 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 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION :,.. <br /> PROJECT ADDRESS: 712 Colby Ave EVERETT WA 98201 PARCEL#00496813702700 <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 INFORMATION <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: <br /> INSTALL GAS FURNACE <br /> • <br /> ,-,ddktACTINFORMAticiWI, <br /> OWNER NAME: Cynthia Hansen TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET712 Colby Ave <br /> CITY EVERETT STATE WA zip 98201 <br /> OWNER PHONE:206-941-3608 OWNER EMAIL:cynthia.hansen@seattlechildrens.org <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:PERMITS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQUIRED):MMCOMCS839PT 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 /> J ENAH BARLOW CONTACT EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM <br /> 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 <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 /> 2-5 ------- <br /> PERMIT# <br /> Z "� ----7 <br /> E 1 ( �- 1L ( <br /> 0 -Authorized Agent Signature Date (Revised 10/12/2015) <br />