1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-29

ULE T ICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 93201 (P)425-257-8810 4 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION TION PROJECT ADDRESS: Q r'o i BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED © SFR-ATTACHED 11 DUPLEX J&MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: Ljj r E t ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT## if a plicabil ' o DESCRIPTION OF WORK: 0. tZp i les s u R� e 60 CONTACT INFORMATION OWNER NAME: r C. TENANT NAME(I#Commercial): OWNER MAILING ADDRESS: STREET �, Cg,L,i"�` piq-'_. carr ( KI'" q,PG L STATEyp zIE G t OWNER PHONE: 3 G f} OWNER EMAIL: e. d S ps K •C6 CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET curt' -�_{�+ 4 j'^ STATE "LIP CONTRACTOR PHONE: 4,12 r 2J 4 t 3 I CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): h �� [� �� -' CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR *OTHER(Please Specify CONTA T NAME: CONTACT PHONE: 4 CONTACT EMAIL: vA IR 121 5 otv AGREEMENT Thereby certify that/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 taw regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18,27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Owned thorized Agent Signature Date (Revised 10/92/2095)