1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-29

ELECTR9CAL Ir"ERMITSPLICATION CITY OF EVERT PERM RvICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 (E) everefteps@everettwa-gov WiNw.everettwagov1permits - P ROJECT ADDRESS: 1,v BUILDING AREA(if residential,new construction,remodel,or addition) f SF I BUILDING TYPE: 0 SFR-DETACHED 11 SFR ATTACHED UDUPLEX MULTI-I-FAMILY-90F UNITS:. EI COMMERCIAL USE0 1 SE OF BUILDING: M Ud, fGONTRAGT PRICE OF WORK-$ NUMBER OF DEVICES (if low voltage). FIRE ALARM? 11 YES ONO ASSOCIATED BUILDING PERMIT#Cif applicable): r% DESCRIPTION-OF WORK: A C T-I fi ObMWA Z -(If Commercial): 0111 NER NAME:=F TENANT NAME fw<) -v� A OWNER MAILING ADDRESS: STREET STATE ZIP tie) OWNER PHONE: IOWNER EMAIL: CONTRACTOR NAME: I,-> _cAN;& CONTRACTOR ADDRESS: STRM7 STATE ZIP CITY CONTRACTOR PHONE: CONTRACTOR EMAIL: ( 'v/ ---� CONTRACTOR LIC.#(REQUIRED).• 'FIG CITY OF EVERETT BUSINESS LIC.#(REQUIRED); PRIMARY CONTACT. 0 OWNER CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: V,/k CA�Vk CONTACT EMAIL: K-7 C-F, -V lvn,\ AGREEMENT.Thereby ceifffythat I have read an examined this appfi'cation and know the same to be true and correct All provisions of laws and ordinances goveming this type of work will be completed whatherspeciffedheralu ornot, The granting of a permit does notpresume to gAea authority to idblate or cancel the provisions of any other state of local fawregulaffng construction orthe performance of construction. That I am authorized by the owner of this property to perform the work tbrwhich application is made and I comply with the State Contractors Law 18.27RCWand296.200 WAC. Cify of Everett Official Use Only FEE PERMIT# OZ "Date (Revised 1011212015) ;ner/Auff ior>KA ll!:�- sent Szgnzf'