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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.goviperrnits <br /> , patojieetilit, J,; rigATioN '7746 <br /> PROJECT ADDRESS:9615 Holly Drive <br /> BUILDING AREA(if residential,new construction,remodel,or addition)N/A SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS:Multiple 0 COMMERCIAL <br /> USE OF BUILDING: Apartments <br /> APPUONTIoti.., :,itif.oRw*nopi „ <br /> CONTRACT PRICE OF WORK:$' 20000.00 <br /> NUMBER OF DEVICES Of low volta.o): 10 <br /> FIRE ALARM? 0 YES <br /> ASSOCIATED BUILDING PERMIT#(if applicable). <br /> DESCRIPTION OF WORK: Pulling 120 Volts to electric gates installed and Wiring for Security System Low voltage Wires <br /> CO T INFORMATIoN <br /> OWNER NAME:Holly Village Apartments TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET 9615 Holly Drive <br /> cny Everett STATE wa 2IR 98204 <br /> OWNER PHONE: 425-221-3047 OWNER EMAIL;dana.nicholsefpimgt.corn <br /> CONTRACTOR NAME: Budget Key Service inc. <br /> CONTRACTOR ADDRESS: STREET P.O. Box 16318 <br /> cry Seattle STATE WA 2P 98116 <br /> CONTRACTOR PHONE:206-380-7200 CONTRACTOR EMAIL: Claudia@budgetkeyandsecurity. <br /> CONTRACTOR UC.#(REC1UIRED): BUDGEKS901DC CITY OF EVERETT BUSINESS LIC.r4REouinsc 5711 <br /> PRIMARY CONTACT; 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-949-3515 <br /> Claudia CONTACT EMAIL:claudia@budgetkeyandsecurity.corn <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. Alt provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting ole permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> 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! <br /> comply with the State Contractors Law'1827 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ti In <br /> O .r Authorized Agent Signature Date (Revised 9/23/2016) <br />