3004 51ST PL SW 2019-08-13 - Laserfiche WebLink

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 l ...» PROJECT SITE INFORMATION " PROJECT ADDRESS:3004 51st PL SW BUILDING.AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFRDETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS:* 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$350 NUMBER OF DEVICES(if low voltage): FIRE E ALARM? 0 YES VO ASSOCIATED BUILDING PERMIT#",(tf, pplrcable« DESCRIPTION OF WORK:: GAS FURNACE CHANGE OUT, LOW VOLTAGE �..... CONTACT INFORMATION OWNER NAME: Gary&Sandy Richardson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3004 51st PL SW CITY EVERETT STATE WA ZIP 9Ei2O3 OWNER PHONE:425-265-0522 OWNER EMAIL:9arysandyr@hotmail.com CONTRACTOR NAME: MM COMFORT SYSTEMS 18103 NE 68TH ST SE,C-200 CONTRACTOR ADDRESS:.._._ STREET ,., crre REDMOND STATE WA zip 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM 1. CONTRACTOR LIC,#(REQUIRED):MMCOMCS839PT CITY OF EVERETT BUSINESS LIC.#REQUIRED) 055245 PRIMARY CONTACT: 0 OWNER • TRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 J E NAH BARLOW CONTACT EMAIL:permits@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 l £, comply with the State Contractors Law 18.27 RCW and 296;200 WAC. City of Everett Official Use Only FEE 4 D, °�% ,, . PERMIT# Eio0I .- O2 " 1/4/2019 mea lthonzed Agent Signature Date (Revised 10/12/2015)