10115 HOLLY DR OLIN FIELDS APTS 2021-12-16

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: �O� ��J HOLLY DR (,� l� BUILDING AREA(if resldential,new construction,remodel,or admt�on)CABLE BOC SF : BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL use oF aui�ow�: GROUND MOUNTED CABLE BOX ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2600 NUMBER OF DEVICES if low voltage : FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if a licable : oescRiPTioN oF woRK: CONNEGT GROUND MOUNTED CABLE BOX CONTACT INFORMATION OWNER NAME:COMCAST TENANT NAME(If Commerclal : OWNER MAILING ADDRESS: sraeer 410 VALLEY AVE N W �,r PUYALLUP STA7E �Y/'� Z�P 98371 OWNER PHONE: OWNER EMAIL: coNrRacTOR N,anne: AHEARN ELECTRIC INC CONTRACTORADDRESS; STREETPO BOX4058 �,n BREMERTON SrA�WA Z,P 98312 CONTRACTOR PHONE: 36OH5O4C72 coNT�,croR Ennai�: BRENNA@AHEARNELECTRIC.NET coNTRacroR uc.#�REQuiREo�: AHEARE1008PA CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O5G72O PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) ' CONTACT NAME: CONTACT PHONE: 36OSrJO4F)72 i BRENNA coNTacr eMai�:gRENNA@AHEARNELECTRIC.NET AGREEMENT:I hereby ceAify that l have read and examined this application end know the same to be true and correct. All provlsions of laws and ordlnances goveming this rype i of work will be cornpleled whether specl(1ed herein or not. The granting of a permit does not presume to give authority to vlolate or cancel the provislons of any other state or i local law regulating construction o�the performance of construction. That 1 am authorized by the owner of this property to perlorm the work for whlch application!s made and I ; comply wlth the State Contractors Law 18.27 RCW and 296.200 WAC. j I City of Everett OHicial Use Only , ---1 �� PERMIT# I � ' � . -.! . 11 /8/17 El� ll- �Z ' �,, ��0 n�rner/A�zed Agent Signature Date (Revised 9/23/2016) , i