4602 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 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov 1 wwv+Leverettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4602 Riverfront Blvd BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: D COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATIONtr:f.;., ATION CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES (if low voltage): FIRE ALARM? DYES DNO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: 100 amp temp Simpson 379 Please call our office 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you , iMilitORMATION OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 rrry BellevueWA STATE V) 98005 OWNER PHONE: 425-586-7700 OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 Puyallup STATE WA zip 98371 CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: dgentele@gweusa.com CONTRACTOR LIC,#(REQUIRED): GARNEEW864KB law OF EVERETT BUSINESS LIC #(REOUIRED): 052909 PRIMARY CONTACT: Cl OWNER Pi CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul Vantol CONTACT EMAIL: pvantol@gweusa.com 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 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 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 comply with me&ate Contractors Law 1821 RCW and 298.200 WAG City of Everett Official Use Only . PERMIT# ,/i/c / /::(97. (19//i 1/9 E Owner/Authorized Agent Signature • Date (Revised 9/23/2016)