10116 29TH AVE SE 2019-08-08 - Laserfiche WebLink

t—1 1�-1 0 OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 10116 29TH AVE SE EVERETT WA 98203 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: mL,, -t 461Y7tit- I") .i'''`t, ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $350 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: GAS FURNACE CHANGE OUT ADD HEAT PUMP CONTACT INFORMATION OWNER NAME: ROBERT BAGLEY TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10116 29TH AVE SE CITY EVERETT STATE WA zip 98203 OWNER PHONE:425 478-2926 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 CITY REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@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 JAN ETTE 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 PERMIT# E t l --CLL Owner/Authorized Agent Signature Date (Revised 10/12/2015)