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

LLECT ICAL PERMIT A&ICATION 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 Pit®i - SITE INFORMATION' _. PROJECT ADDRESS: ` , - BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ,MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION iIa1FORMATIAN CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES a-fgo ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: ) PI tl J-" iA s� r-= � C_ ,.. CO91A07N061t iON . OWNER NAME: —s TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET CITY — STATE Q, ZIP v a G OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: — = C CONTRACTOR ADDRESS: STREET CITY o - a O y ` STATE (,,..1 ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): J -&9s CITY OF EVERETT BUSINESS LIC. #(REQUIRED) PRIMARY CONTACT: ❑ OWNER ONTRACTOR DtOTHER (Please Specify) ^jb • j- CONTACT NAME: CONTACT PHONE: c9b CONTACT EMAIL: a G O v C I &fI'7 cast 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 governing this I 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. City of Everett Official Use Only FEET l� PERMIT # 1 g04 -a29 (Revised 1011212015)