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LLECTRICAL PERMIT AP. r.ICATION <br /> New4 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©everettwagov 1 wwww.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3447 31st Dr <br /> BUILDING AREA of residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ® MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION I RMATION <br /> CONTRACT PRICE OF WORK: $ 250 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: 200 amp temp I <br /> BLDG 16 a (.,vol - o ! <br /> Alcyt 4,sixs-c.J,e_____cx.(2 <br /> Please call our office @ 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you <br /> CONTACT INFORMATION <br /> OWNER NAME: Polygon Homes TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREEt 11624 SE 5th St Suite 200 <br /> c6TY Bellevue STATE WAlip 98005 <br /> OWNER PHONE: OWNER EMAIL: <br /> 425'586-77� <br /> CONTRACTOR NAME: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> cr.,. Puyallup STATE WA 2:p 98371 <br /> CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: dgentele@gweusa.com <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052909 <br /> PRIMARY CONTACT: 0 OWNER Q CONTRACTOR Cl OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6051 <br /> Paul Vantol CONTACT EMAIL: pvantol@gweusa.com <br /> AGREEMENT I hereby certify that I have read and examined this application and know the same to be tate and correct All provisions of laws and ordinances governing this hype <br /> of work will be completed whether specified herein or riot. The granting of a 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 wor*for which application is made and I <br /> comply with the State Contractors taw 18.27 RCW and 296.200 WAC <br /> n City of Everett Official Use Only <br /> .- PERMIT# <br /> t` <br /> (�,fg6r r ,r, 8/30/17 E S _.2_2P-1(,, <br /> t 0wnerIAuthorized Agent Signature Date (Revised 9/23/2016) <br />