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"IIPP' ELECTRICAL PERMIT APPLICATION <br /> I�1► , f 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 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3450 31st Dr <br /> BUILDING AREA(if residential, new constructionremodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> s <br /> ELECTRICAL APPUCATIO i !IATION <br /> CONTRACT PRICE OF WORK: $ 250 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable). <br /> DESCRIPTION OF WORK: 200 amp temp <br /> BLDG 17 e_ L o 3 -OSE <br /> iv-6--r ,6v_1(7-vgc2.4Nit_c)C <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 11624E SE 5th St Suite 200 <br /> cri, Bellevue STATE WA zp 98005 <br /> OWNER PHONE: 425-586-7700 OWNER EMAIL: <br /> CONTRACTOR NAME: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> cry Puyallup ArATF WA 7 r, 98371 <br /> CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: dgentele@gweusa.com <br /> gweusa.com <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052909 <br /> PRIMARY CONTACT: 0 OWNER VI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6051 <br /> Paul Vantol CONTACT EMAIL: pvantol@gweusa.com <br /> i <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct Ail provisions of raves and ordinances governing this type <br /> 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 <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 I <br /> comply with the State Contractors Law 96.27 ROW and 296.200 WAC <br /> City of Everett Official Use Only <br /> (7 <br /> -?- 8/30/1 7 E q02. , 2_ 0 <br /> .1: ' <br /> ' ' ,/, ' ,,,, i f - 7( -11/' „/Z /L-' ' ''''4) <br /> i PERMIT# <br /> i if; i if i: ,/, , ', 5/, „I <br /> 7 <br /> OWh AuthorizeAgent Signature Date <br /> � (Revised 312312016) <br />