1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-29

LLECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1151 MQAAN C tR9 r �I BUILDING AREA(if residential, new construction,remodel,or addition) 1 SF BUILDING TYPE: 11 SFR-DETACHED ❑ SFR-ATTACHED ® DUPLEX 19 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: i t ` ELECTRICAL APPLICATION INFORMA'T'ION CONTRACT PRICE OF WORK: --� NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 10NO ASSOCIATED BUILDING PERMIT# if applicable): a DESCRIPTION OF WORK: kjo *--s�Z- 'r di e_ I� 0— CONTACT INFORMATION OWNER NAME: '� C. TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET C.e� f P L Jlk"` CITY CClLtickS a'pjc- sTxw �.l,i "P Q OWNER PHONE: 6 < G OWNER EMAIL: P_q Q -s 4 n .Cd 1171 CONTRACTOR NAME: �o� ��,5 t0/� �� 1. < - CONTRACTOR ADDRESS: STRUT 2 t © yl_\ % CITY - ' 070. STATE ZIP Q CONTRACTOR PHONE: 1CONTRACTOR EMAIL: FTC3 fra Aotmo . c� CONTRACTOR LIC.##(REQUIRED): L, (v CITY OF EVERETT BUSINESS LIC.#(REQUIRED)- PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR )&OTHER(Please Specify} .. �, CONTA T NAME: CONTACT PHONE: t4;,S"— 3G S '•'E�l .r,- �t� CONTACTEMAIL: flokfmk � o06 f ., C-n 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 t 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 WRC_ City of Everett Official Use.Only FEE PERMIT# Ownert,44thorized Agent Signature Date (Revised 1011212015)