Laserfiche WebLink
00111P ELECTRICAL PERMIT APPLICATION <br /> . <br /> ►'' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I wvvw.everettwa.govlperrnits <br /> m, Vs `t�, t- .-! yy�, sr �aa ?€N Y,,,.mac i <br /> PROJECT ADDRESS: 9316 Holly Dr Everett, WA 98204 <br /> BUILDING AREA(if residential,new•construction,remodel,or addition)784 SF <br /> BUILDING TYPE; EI SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: residential <br /> •y ... , ,. *atFr A .. 34n .sen.' C ux K 1:�. 5 YZ.k ug ...., , <br /> CONTRACT PRICE OF WORK:$ 500 <br /> NUMBER OF DEVICES(if low voltage); <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(If applicable): <br /> ^ <br /> DESCRIPTION OF WORK: overhead temp power pole. <br /> OWNER NAME:Olsen TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 9316 Holly Dr <br /> €irrr'Everett STATE Wa ?1P 98204 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: RVB Electric and Construction <br /> CONTRACTOR ADDRESS: smEer2803 Grand AVE <br /> czy Everett STATE WA zip 98201 <br /> CONTRACTOR PHONE;4259036834 CONTRACTOR EMAIL: office@rvbelectric.com <br /> CONTRACTOft LIC ft(ReOU.RE7): RVBELVB$41.8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):55896 <br /> PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER<(Please Specify) <br /> CONTACT NAME: 'CONTACT PHONE; 4253449180 <br /> Romer! Boyar CONTACT L:offic:@rvbelectriccorrl' <br /> AGREEMENT 1 herebycenity that I have read and examined this applcatien.and know the same to be fare;MI correct:All previsions of laws and Ordinances governing this type <br /> of work will be completed whether specified herein ornof The granting of apermit does hot',test/meta give authority to violate or cancel the provisions of any other stale or <br /> local taw regulating construction or the performance of construction, That t am authorized by the owner ofthis property to perform the work for which application is made and I <br /> comply with the State Contractors Law 1A27 RCW and 296.200 WAC: <br /> City.of Everett.f)ffrcial Use Only <br /> E (60t?,-() 1 <br /> PERMIT# <br /> CA Va\.t\lic <br /> Owner ., ge f\It ,Signature ate (Revised 9/2312016 <br /> ) <br />