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

o PLECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICESOL 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„NFORMATON «... , PROJECT ADDRESS: 10015 O oI I DYi ve, - ew-06iv%ox P BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: O'COMMERCIAL OF BUILDING: ELECTRICAL, APPLICATION #NFORMATION CONTRACT PRICE OF WORK: $ a oq 4. ao NUMBER OF DEVICES (if low voltage): FIRE ALARM? EYYES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: 11tRICLU, t*P5,fino Fim Ala Ynn CO'ntmt f'0L;kCL_W i fk ai PLQ,W riY-G Alarm Conivol Panel inude, a 5rno e, t� bpm itwe, pALeA CONTACT INFORMATION OWNER NAME: ✓)-A��JS P (_ L_eG TENANT NAME (If Commercial): O (i ri F i GI Gi S /_Npt-5- —rD OWNER MAILING ADDRESS: STREET L0IP5 M.0✓t Om �sf% 6I 6 I -i-DU /1 /� /� CITY �Q. V, �d'74 STATE C A ZIP A'41 < OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 14D(+k\Pje6 - Fi pe S fGwo-5 CONTRACTOR ADDRESS: STREET )191t9 9 S S&A Avt . `_ I CITY K�.-i- STATE XVA ZIP '1op D3 CONTRACTOR PHONE: ablo ��%• '�"5 v 3� CONTRACTOR EMAIL: KD rC A Y ce7 YlW fi ✓`e 5 SF�w�5 . Gd1nn CONTRACTOR LIC. #(REQUIRED+3D1ZT1I F5 S16 HS' CITY OF EVERETT BUSINESS LIC. #(REQUIRED): Obi pS 114 PRIMARY CONTACT: ❑ OWNER UCONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: K Gt i b' (-ewr CONTACT PHONE: aDLo CONTACT EMAIL: V, p Y,e &v oD n ".n y--e- 5 H e, t- viS • Cev-t AGREEMENT: I hereby certify that I 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 I 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 1 &27 RCW and 296.200 WAC. k- Owner/Authorized Agi Date City of Everett Official Use Only PERMIT # E IQA011- (Revised 912312016)