722 95TH PL SE 2019-08-14 - 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.everettwagov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:722 95th PI SE I BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED FR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $550 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES itNO ASSOCIATED BUILDING PERMIT# (i applicable): DESCRIPTION OF WORK: FURNACE CHANGE OUT ADD AC CONTACT INFORMATION OWNER NAME: Brian Wiedmer TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET722 95th PI SE crrr EVERETT STATE WA zw 98208 I OWNER PHONE:425 356 9765 OWNER EMAIL:bwiedmer@gmail.com CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 cm, REDMOND STATE WA ,;,, 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM CONTRACTOR LIC.#(REQUIRED):MMCOMCS839PT _CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055245 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: I � CONTACT PHONE:425-881-7920 1 �1A Ck)(kW CONTACT EMAIL:permits@mmcomfortsystems.com AGREEMENT T herebfcertify 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 a 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 0 PERMIT# E v®1 o S .__c,0 Qwnet°,uth riz=•.Ag:. tSignaturre,,, �' Date (Revised 10/12/2015)