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

rrrA,- =61i ELECTRICAL PERMIT APPLICATION F—ce: CITY OF EVERETT PERMIT SERVICES F12E 3200 CEDAR STREET, EVERETT, WA 98201 neg.�-4`r (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: I 1 1 5 Ho l I Di6 vt E>LLijdtVX6 C3 BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: CVCOMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ Dt> NUMBER OF DEVICES if low voltage): FIRE ALARM? 13'�ES ❑ NO ASSOCIATED BUILDING PERMIT # if applicable): DESCRIPTION OF WORK: a�� e X+ 5{1 yvx F t ir`C Allc jrrn_ c zyn Ya l PA v1. el i }in 0. n e-W %`r e; C Q Con fti pLLnej. we, W+ I attoo UA-x S e- &vfflm� abov& *I & CONTACT INFORMATION 1., OWNER NAME: S1 r,nd.Cu�A TS P bl i 1r1 '-LC TENANT NAME (If Commercial): 04vi Reid S is - P OWNER MAILING ADDRESS: STREET LP LP %5 N ()YIS • SV � My SW{ N Fy&'n U'5 STATE C ZIPcl 14111 OWNER PHONE: OWNER EMAIL: �r CONTRACTOR NAME: ORTt�w1J6� �I�i'i a �jTFiMS CONTRACTOR ADDRESS: STREET aa(P,1+s g5ytA ate . S. 3 . D 1,)A j� CITY STATE �(V ZIP Q Z, (J� ✓ CONTRACTOR PHONE: CONTRACTOR EMAIL: V- ream nw-6 IDS ►' *YES •7�ovt^ CONTRACTOR LIC. #(REQUIRED): SNORT tr-5% t5M T CITY OF EVERETT BUSINESS LIC. #(REQUIRED): PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: a O (Q a 1- Sa CONTACT EMAIL: AGREEMENT. • I hereby certify that / 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. A414* uiW_111;1� Owner/Authorized Agent Signature Date 9 a a--)01$ City of Everett Official Use Only PERMIT # E i (Revised 912312016)