1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-29

ELECTRICAL PERMIT PLICATION CITY OF EVERETT PERMI RVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 [ FAX 4.25-257-8857 j (E) everetteps@evere'ttwa.gov[ Www.everettwagov/permits CO (� � PROJECT ADDRESS: Ck BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED Q SFR ATTACHED EI DUPLEX MULTI-FAMILY-#OF UNITS,. II COMMERCIAL USE OF BUILDING: �. � �i _ - �ll _ j o�j•Q� t-�I13IM P�jj� - pplIT . j.� _ z� r^kS'•c::nQl4'v'r.C`?n{:s.ad _ _ _ _ CONTRACT PRICE OF WORK:$ -' NUMBER OF DEVICES (if low voltage). FIRE ALARM? Q YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION-OF WORK: `i 16 LZ \\ J CONT-; •QiNNER NAM&,' C c, _. TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET �l �'� •� CnY ,= / STATE W1 ZIP OWNER PHONE: �C OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: sTREF-7 CITY �I! VV- STATE Zip of CONTRACTOR PHONE: �CONTRACTOR EMAIL:� . CONTRACTOR LIC.#(REQUIRED)• �.� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: Q OWNER CONTRACTOR 0 OTHER(Please Specify) GONTACT NAME: CONTACT PHONE: ` CA'\o,� CONTACT EMAIL: AGREEMENT.'Thereby certify that I have read and examined this apprication and know the same to be true and correct. All provisions of laws and ordfnances goveming this type of work will be completed whetherspecitled herein ornot. The granting of a permit does notpresums to give authority to violate or cancel the provisions of any otherstate or tocallawregulaling construction orthe performance of construction. That l am authorized by the owner of this property to perform the workforwhich application is made and I comply with the State Contractors Law 18.27RCWand 296.200 WAC. City of Everett Official Use Only FEE [PERMIT#� OZvner/Autfioriz' A 1 nt•Signature.-'' Date (Revised 10/12/2015)