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b <br /> i <br /> 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> k (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa..gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:11305 West IBBERSON DR <br /> BUILDING AREA(if residential, new construction,remodel,or addition) r. SE; <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $550 <br /> NUMBER OF DEVICES(if low voltage: <br /> I FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> CONTACT INFORMATION <br /> OWNER NAME: Dennis.Mckinney TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11305 West IBBERSON DR <br /> CITY EVERETT STATE WA.. zip 9$203 <br /> OWNER PHONE:425 750 5489 <br /> [OWNER W' <br /> k CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> I ciry REDMOND STATE WA z,P 98052 <br /> ONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LIC.#(REQUIRED):MMCOMCS839PT [CITY OF EVERETT BUSINESS LIC.,#(REQUIRED) 055245 <br /> 3Aa <br /> RIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> 11 <br /> ONTACT NAME: CONTACT PHONE:425-881-7920 <br /> Jenah 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 Ali 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!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 /> "q--s ,_ <br /> PERMIT# <br /> EI9oZ-d2, <br /> Owner, whorl, Agent s 1.: <br /> - Date (Revised 10I12/2015) <br />