1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-29

ELECTRICAL. PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 { FAX 425-257-8857 1 (E)evereiteps@everettwa.gov I www_everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Q i lR e C �,� I L4 BUILDING AREA(if residential, new construction, remodel,or 2dditlon).._._...__g�tASF �� BUILDING TYPE: ®SFR-DETACHED ❑SFR-ATTACHED ® DUPLEX JA MULTI-FAMILY-#OF UNITS: © COMMERCIAL USE OF BUILDING: e t ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ -' - NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES tXNO ASSOCIATED BUILDING PERMIT# if applicable): is DESCRIPTION OF WORD: Q" n $ {r o -- c u,p, _ L f� s CONTACT INFORMATION OWNER NAME: 'r C . TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s-EEr OWNER PHONE: ZS 3/ G Q OWNER EMAIL: e oaks psi K .cc9 CONTRACTOR NAME: �o� �N p �l�z c fu< CONTRACTOR ADDRESS: Freer Q ,ZO % GrrY �e-o l�gyo)' STATE "LFP 0 �7 CONTRACTOR PHONE: z- r-241 1CONTRACTOR EMAIL: T 3 co „ C.0 CONTRACTOR LIC.#(REQUIRED): E jL L_ ,-�Cp tJ C--- ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR OTHER(Please Specify) a s, CONTA T NAME: CONTACT PHONE: 44.Z�'— � CONTACT EMAIL: qJR ty d�� . C 0 AGREEMENT T hereby certify that f 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 1 comply with the Slate Contractors Law 18.23 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Owne;?r6thorized Agent Signature Date (Revised 10112/2015)