10621 27TH DR SE 2019-08-19 - Laserfiche WebLink

+LECTRICAL 4ffn- 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 10621 27TH DR SE, EVERETT WA 98203 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: Cid SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $1,400 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES IRNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: GAS FURNACE CHANGE OUT AND ADD A/C CONTACT INFORMATION OWNER NAME: VASTLY PRIGODICH TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10621 27TH DR SE ciTY EVERETT STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 cry REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM CONTRACTOR LIC.#(REQUIRED):MMCOMCS847P4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055245 PRIMARY CONTACT: 0 OWNER Ix CONTRACTOR 0 OTHER(Please Specify) CONTACT PHONE:425-881-7920 CONTACT NAME: DAVID CLU ETT CONTACT EMAIL:PERM TS@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 4 V� PERMIT# " 1 , 7-28-17 �1 E OZZ Z OVer/Authorized Agent Signature Date (Revised 10/12/2015)