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,; a 0lI5n& <br /> OTFETT 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 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITS INFORMATION': <br /> PROJECT ADDRESS: EVERETT WA 98203 6(Q I Cj CDwtyweYC LQj Ave <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: $650 <br /> NUMBER OF DEVICES(if low voltage):1 <br /> FIRE ALARM? ❑YES 0 NOX <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> _ INSTALL ELECTRICAL FOR NEW AIR HANDLER & HEAT PUMP <br /> CONTACT INFORMATION <br /> OWNER NAME: DAVE BERGINSKI TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6615 Commercial Ave SE <br /> CITY EVERETT STATE WA ZIP 98203 _ __ <br /> OWNER PHONE:425 367 9112 OWNER EMAIL:Davidwb82@gamil.com <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 CONTRACTOR EMAIL:JWELLS@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 /> 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 /> PERMIT# <br /> Owned Agent Signature Date (Revised 10/12/2015 <br />