4606 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

#1111111°H. ELECTRICAL PERMIT APPLICATION . . CITE OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) eyeretteps@everettwa.gov i www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4606 Riverfront Blvd BUILDING AREA(if residential, new construction,remodel, or additions SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-Al !ACHE© 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): 3 DESCRIPTION OF WORK: 100 amp temp Simpson 377 Please call our office @ 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you .. T CONTACT INFORMATION OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 Bellevue STATE WA ,,,, 98005 OWNER PHONE: 425-586-7700 OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: s-RRET 402 Valley Ave NW Suite 106 c,w Puyallup ;,:,,E WA 1,P 98371 CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: bgentele@gweusa.COM CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB CITY OF EVERETT BUSINESS LIC.thREQUIRED 052909 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify;_ CONTACT NAME: CONTACT PHONE: 253_872_6051 Paul Vantol CONTACT EMAIL: pvantol@gweusa.com AGREEMENT f hereoy certify that I have read and examined this application and know the same to oe true and correct. All 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 focal 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 t comply With toe,state Contractors Law 78 21 ti CW arid 29b.200 WAG City of Everett 0ftfctal Use Only, • / ,)I/4(y";/..),/ ir,..n y jt PERMIT# J I Y 2) ,, -t" ' '6::;7/r7 lif C7 owner/Authorized Agent Signature Date {;Revised 9/23/20 16,