2510 RUCKER AVE 2019-04-16 - Laserfiche WebLink

OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2510 RUCKER AVE UNIT#6 EVERETT WA 98201 t( J '-) ' (Q1(, ,,::_-)0(:)C., 4) CC BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING:SINGLE FAMILY HOME ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $4000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES '❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: INSTALL DUCTLESS HEAT PUMP 3 ID HEADS CONTACT INFORMATION OWNER NAME: D AN MCCLURE TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET2510 RUCKER AVE UNIT#6 ciTY EVERETT STATE WA Zip 98201 OWNER PHONE:206 382-9999 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 c„Y REDMOND STATE WA ZAP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS©MMCOMFORTSYSTEMS.COM CONTRACTOR LIC.#(REQUIRED):MMCOMCS847P4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055245 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 J ENAH BARLOW CONTACT EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM AGREEMENT:T hereby certify that 1 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 PERMIT# \ 9 � � E Owner/ uthorized Agent Signature Date (Revised 10/12/2015)