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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 8 Q_ g. C o 1 BUILDING AREA(if residential, new construction,remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED EI SFR-ATTACHED ®DUPLEX MULTI-FAMILY-#OF UNITS: E COMMERCIAL USE OF BUILDiNG: ELECTRICAL APPLICATION INFORMATION -- CONTRACT PRICE OF WORK: --- NUMBER OF DEVICES if low voltage): FIRE ALARM? 0 YES VNO ASSOCIATED BUILDING PERMIT# if a livable : pJ o DESCRIPTION OF WORK: Q-t'rc,4"(" , q V.P, ,No. CONTACT INFORMATION OWNER NAME: C. TENANT NAME(If Commercial): �j g OWNER MAILING ADDRESS: STREET 3_ _ C,0 crry tq i S 0. C sTATF C1— ® ZIP OWNER PHONE: OWNER EMAIL: �e_q Q S Q0t IDK .c6 CONTRACTOR NAME: F.". f N p� �fQ_C_ CONTRACTOR ADDRESS: STREET CITY -t,-_r 16ll' STATE ZIP CONTRACTOR PHONE: rl°f f ? 1-31 //CONTRACTOR EMAIL: 3 F " CO CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT; O OWNER CI CONTRACTOR OTHER(Please Specify) i , - ck CONTA T NAME: CONTACT PHONE: .Z'�__ .30 G C� ;"-r-, CONTACT EMAiL: ff.9A.R S 0015 & f _ C C� AGREEMENT:T hereby certify that f have read and examined this application and know the some 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 f 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 286.200 WAG. City of Everett Official Use Only FEE PERMIT# Own erl thorized Agent Signature Date (Revised 10/12/2015)