4526 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

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 I wwvv,everettwa.govipermits PROJECT SITE INFORMATION PROJECT ADDRESS: 4526 Riverfront Blvd BUILDING AREA if residential new constructionremodel,or addition) SF BUILDING TYPE 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS, 0 COMMERCIAL USE OF BUILDING: • • • ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 250 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 100 amp temp Simpson 380 Please call our office c 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you CONTACT INFORMATION OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 Bellevue sTATE WA zip 98005 OWNER PHONE 425-586-7700 OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: ETEEsT 402 Valley Ave NW Suite 106 Puyallup SrAl; WA zip 98371 CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: bgentele@gweusa.corn 'CONTRACTOR LIC.#4REQUIRED: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED). 052909 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul Vantol CONTACT EMAIL: pvantol©gweusa.corn AGREEMENT I hereby certify that I have read and examined this application and know the same to be true and correct Ail provisions of laws aria ordinances governing this type at work will be completed whether specified herein or not The granting of a penult does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and comply with me state Contrectois Law le 21 itcW and 296.200 WAG /41,11/1 city of Everett Off/oaf Use Only s „s/ .Y/ PERMIT U ''13V;ner/Authorized Agent Signature Date (Revised 9123/2016)