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1 <br /> 4 <br /> 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:10012 27th Dr SE <br /> BUILDING AREA(if residential,new construction,remodel,or addition) _ SF .. <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS. ❑COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK;$350 <br /> NUNIEER'OF DEVICES Of low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> single head dpctiess <br /> ,. •.._ <br /> CONTACT INFORMATION <br /> 1 OWNER NAME: EIOISa BUStOs TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 10012 27th Dr SE <br /> cirr EVERETT, STATE WA ziP 98208 <br /> 1 OWNER PHONE 425 263 1551 'OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> CITY REDMOND sTAxE WA ZIP 98052 <br /> { CONTRACTOR PHONE:425-881-7920 ... ... ...... _... <br /> ........... <br /> lt<o11TI*tACToEMAIL;PERMITS@MMCOMFORTSYSTEMS.COM <br /> MMCOMCS839PT `7y <br /> CONTRACTOR LIC,#(REQUIRED): ,CITY OF EVERETT BUSINESS LIC,CREQUIRED) 4� ,4�,, <br /> 1 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify). <br /> CONTACT NAME: SACT PHONE:425-881-7920 <br /> i Jenah Barlow <br /> ACT 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. All 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 I 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 /> 1 <br /> 416. oo <br /> 1 , ---- <br /> ., <br /> , , <br /> PERMIT <br /> 1/30/2019 E I 0 li I <br /> '014 <br /> t ' ,'Go ;'i d . SI9natutC a< Date (Revised 10/12/2015) <br />