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c <br /> 00000, <br /> 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: 7909 GLEN DR W, EVERETT WA 98203 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> 1 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: $450 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable); <br /> DESCRIPTION OF WORK: <br /> INSTALL ELECTRICAL FOR NEW AC UNIT <br /> I <br /> CONTACT INFORMATION <br /> OWNER NAME: CHARLES ROSS TENANT NAME(If Commercial):_ <br /> 1 OWNER MAILING ADDRESS: STREET 7909 GLEN DR W <br /> QTY EVERETT STATE WA BP 98203 <br /> S OWNER PHONE:425 220 8096OWNER EMAIL:Hiefross49@gmail.comI 0- <br /> r CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> cnv REDMOND ::.. STATE WA nP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL JWELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(ftEr tNt D):MMCOMCS847P4ICITY OFEVERETT BUSINESS LIC.#t(REQUIR ): S�5 <br /> ° PRIMARY CONTACT: ❑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 l <br /> comply with the Slate Contractors Law 18.27 RCW and 296,200 WAG <br /> City of Everett Official Use Only` <br /> FEE �i^ DO <br /> PERMIT# <br /> E - <br /> OvwneriAuth•,ized Agent Signature Da''_ (Revised 10/12/2015) <br />