1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-29

CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1 (E)everetteps@everettwa.gov f www.everettvva.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: (S 0 9J C W 1 f ' BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX MULTI-FAMILY-#OF UNITS: © COMMERCIAL USE OF BUILDING: ,!t ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES (if low voltage): FIRE ALARM? 11 YES fxlslo ASSOCIATED BUILDING PERMIT# if applicable): O DESCRIPTION OF WORK: 0. tZ' p ' (i f---.16 --.6 t.. 90 � 1� R e— ►.! d dp.. f CO TACT INFORMATION OWNER NAME: V, T C. TENANT NAME(If Commercial): ;J OWNER MAILING ADDRESS: s-11E- 1 3.3 S C�,O Rc 4Qz_ CrrY (qqjj A- Q#- Z.�/(� STATE LIP OWNER PHONE: 3 4 O (a Q OWNER EMAIL: e— fl s 4 K .Ccs CONTRACTORNAME: Fd 'tJ pF3 �Q—c fu <-14 ,q CONTRACTOR ADDRESS: STREET ,4 ,tOU3zt {rtA�,N tom_ CIN ---tkr0 T" STATE I, ZIP CONTRACTOR PHONE: 4- f 141 :9- � CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED)- PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ,OTHER(Please Specify) . r _ S CI q-f- CONTAqT CONTACT PHONE: l ,'� 3(:3 6 4� �— —. CONTACT EMAIL: S bt* & r— C t3 AGREEMENT:T hereby certify that t 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 riot. The granting of a permit does not presume to give authority to violate or cancef the provisions ofany 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 l comply with the State Contactors Law 18.27 RCW and 296.200 WAC. City of Everett Oficial Use Only FEE PERMIT# 0& 2- Owner! thorized Agent Signature Date (Revised 10112/2015)