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0 12(02 <br /> 3 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www„everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1510 108th St SW, EVERETT,WA 98204 <br /> aBUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: SCI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS; . 0 COMMERCIAL <br /> USE OF BUILDING:PARCEL#00442800000300 <br /> ELECTRICAL APPLICATION,INFORMATION <br /> CONTRACT PRICE OF WORK:$750 <br /> ........... <br /> NUMBER :F.D VICES lif(ow vol , e)= <br /> FIRE ALARM? ❑YES 11 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> t DESCRIPTION OF WORK: <br /> INSTALL LE >FOF AIR= :0.LER&.FIST PUMP. <br /> I <br /> CONTACT INFORMATION <br /> OWNER NAME: BARBARA BOOP TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1510 108th St SW <br /> ._...STATE WA ZIP <br /> g <br /> CITY EERETT 98204 <br /> OWNER PHONE:425 355 2002 TOWNER EMAIL jabboop©gmail cornCONTRACTOR NAME: MM COMFORT SYSTEMS <br /> t' CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> cry REDMOND STATE WA ZIP 98052 <br /> /CONTRACTOR PHONE:425-881-7920 !CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM <br /> ,CONTRACTOR LIC. EOUlRED F MMCOMCS839PT CITY OF EVERETT BUSINESS LIC. iEQUIt EQ) 5 <br /> PRIMARY CONTACT: M OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> i CONTACT NAME:; CONTACT PHONE:425-881-7920 <br /> I CONTACT EMAIL:permits@mmcomfortsystems.com <br /> i <br /> AGREEMENT..T hereby certify that 1 have read and examined this application and know the same to be true and correct. A!l provisions of laws and ordinances governing this <br /> 1 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 1 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 /> i. Cify;of Everett,Official Use Oelty <br /> FEE <br /> i <br /> PERMIT# <br /> ao <br /> Owner/-uthprlWd Agent Signature Date (Revised 10/12/2015) <br />