6300 MERRILL CREEK PKY ONAMAC 2022-10-14

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 z PROJECT SITE INFORMATION PROJECT ADDRESS: 6300 Af 6 FZ'C ! L-L (-k'E6K RK uJA QILb; A) FAA �04 ' BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SSFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL USE OF BUILDING: �vMA4&ROar If L M47Ua i=�C ("Lir;'l ti 67 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 300 000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: 0/0';; 3.0 c K VA -TeA o5,=—e C w&w Ttt-eec y5-y kV4 !;r4A.), i.;;yq "o —IWO Auv 4-nd{a N ��C`/S i//�4 5tom'✓[Ct= `f�f? �src"T� 3P#4--5 FiJ' ac-- A P4-*-* Z t �X � 5 � r /'' 6 0h1lu �' " 5'UC}•4� t�' ��l �' 'S e49r'fie ?ei !_ i s r=c ,� �'r c-�z 5 : ✓ i e -C— !S A G CONTACT INFORMATION OWNER NAME: 0k) A M A C. A) D LfS TOES/ t -5 TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET G� MC5i 1P1 L dXIL F%I-hnK LU* �yU�[ � p� ,Q CITY ��= /� G T� STATE L(✓ �l ZIP >1 OWNER PHONE: '+ZS . 7 4j •• 7,� OWNER MAIL: r-A x �%� .S 0 .. CONTRACTOR NAME: I �� C: L- ed Oel c CONTRACTOR ADDRESS: STREET i ► �i x -3< 77 v� CITY 7[ �L/ �i L STATE CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #(REQUIRED): ,9 a 3 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: / P "t R : (44"e-,C 'R60-C j Z CONTACT PHONE: 3cly. CONTACT EMAIL: AGREEMENT: Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming 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 1 am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. 1 7, :2010 City of Everett Official Use Only FEE PERMIT # z� E'l (00� Owner/Authorized Date (Revised 1011212015)