10115 HOLLY DR BLDG N OLIN FIELDS APTS 2021-12-16

ELECTRICAL 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 �� t� .�` 4:�.. ��T ..", z ..," ♦ ,�.��.��I,�R�.I�I.CT..�1�1`E�I�1�'�?.��.� >,*�' ',. :. i �,^?. �,za � �'�. a�:'a�'+ec''' PROJECT ADDRESS: �t'J/!� 4L� jQ L.GG'' /✓ v vl7 BUILDING AREA (if residential, new construction, remodel, or addition) Z Z Bo aC 3 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ULTI-FAMILY - # OF UNITS: / ❑ COMMERCIAL USE OF BUILDING: ` 3#a£e `'N9 ?:.. ¢'.,`<r'..,i„►R��'�'R�01 ll�`iR��.,��'f `",<?; t'"?T �i :v�a'��#. CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑ YES ONO ASSOCIATED BUILDING PERMIT # if applicable): DESCRIPTION OF WORK: % 1P�"%�Es� - /� �i'�T�✓��T ��"�TS OWNER NAME: .5l1f1V1W/ed J'5 Q,1/A/' LGGTENANTNAME If Commercial): OWNER MAILING ADDRESS: STREET :j CITY b1AIt OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: URefflvi CONTRACTOR ADDRESS: STREET 5-��j� CVGev ✓`' �Y CITY "W'o ' �`� ,/ STATE W� ZIP pG CONTRACTOR PHONE: �Ti-s" Z/$' 6Z�l0 CONTRACTOR EMAIL: (J t//2 /Z1�/✓Td/� �%� l%l7G CONTRACTOR LIC. #(REQUIRED): lOi��/0£�$�/� CITY OF EVERETT BUSINESS LIC. #(REQUIRED): -.. C. PRIMARY CONTACT: ❑ OWNER MONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT I hereby certify that I have read and examined this application and know the same to De true ana correcr. All provisions or idws dnu uluffidn,, ccs y�VW1,,,y "' .yp= 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 / 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. Owner/Authorized Agent City of Everett Official Use Only PERMIT # E t%[ �- W (Revised 912312016)