710 NILES AVE 2019-02-12 - Laserfiche WebLink

grr ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits z o y PROJECT SITE INFORMATION PROJECT ADDRESS:710 Nile Ave EVERETT WA 98201 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION.i CONTRACT PRICE OF WORK: $350 NUMBER OF DEVICES (if low voltage):1 FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: INSTALL NEW GAS FURNACE - CONTACT INFORMATION OWNER NAME: Joe W Hattendo f TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 710 Nile Ave CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 c,-yciTy REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM MMCOMCS847P4 ' CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055245; PRIMARY CONTACT: 0 OWNER CW CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JAN ETT E WELLS CONTACT EMAIL: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 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 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 t15a, PERMIT# 12 � l� E 1l\2-c� Owner/ on i Agent Signature Date (Revised 10/12/2015)