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620 112TH ST SE SPACE 3 2019-08-20
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620 112TH ST SE SPACE 3 2019-08-20
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Last modified
8/20/2019 9:49:20 AM
Creation date
8/20/2019 9:49:19 AM
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Address Document
Street Name
112TH ST SE
Street Number
620
Unit
SPACE 3
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2(-)ti tc-,i <br /> 047r 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: 620 112th St SE#3 EVERETT WA 98203 PARCEL#00960005700300 <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: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> E ECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WOR' :$350 <br /> NUMBER OF DEVICES (if lo voltage). <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> REPLACE HP AND ADD AIR HANDLER <br /> CONTACT INFORMATION <br /> OWNER NAME: Darren & Noel Cole TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET620 112th St SE#3 <br /> CITY EVERETT STATE WA ZIP 98208 <br /> OWNER PHONE:425 465 1515 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> CITY REDMOND STATE WA ZIP 9: t- <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JPERM ITS@MMCOMFORTSYSTEM'..C•M <br /> CONTRACTOR LIC.#(REQUIRED):MMCOMCS839PT CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 05524 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> J E NAH BARLOW CONTACT 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 /> • <br /> PERMIT# <br /> 2 - j--� E ��- ( t -2 <br /> wyr/Au orized Agent Signature Date (Revised 10/12/2015) <br />
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