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001,1*— <br /> ELECTRICALPERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 426-257-8857 I (E)everetteps@everettwa.gov v 1 www.everettwagovipennits <br /> PROJECT ADDRESS: 4602 31st Ave SE <br /> BUILDING AREA(if residential,new construction,remodel,or addition), SF <br /> BUILDING TYPE: 0 SFR-DETACHED ©SFR-ATTACHED CI DUPLEX 0 MULTI-FAMILY-it OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ANA; i 3 <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: 100 amp temp <br /> Simpson 332, <br /> Please call our office @ 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you <br /> \ r „zinS IF <br /> OWNER NAME: Polygon Homes TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: steer 11624 SE 5th St Suite 200 <br /> circ Bellevue SLATE WA ZIP98005 <br /> OWNER PHONE: 425-586-7700 LOWNER EMAIL: <br /> CONTRACTOR NAME: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 WA <br /> w Puyallup STATE zip 98371t <br /> CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: bgentele@gweusacorn <br /> CONTRACTOR LIC.INREQUIREDy GARNEEW864k13.... Ictry OF EVERETT BUSINESS LICA#iREQUIRED):052909 <br /> PRIMARY CONTACT: 0 OWNER 1.CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-605.1 <br /> Paul Vantol CONTACT EMAIL:pvalltOlegWBUSB.00111 <br /> AGREEMENT I hereby cer*Yy that t-have mad and examined this application and know thesamett.be true and corm AN provisions of laws and ordinances govemthg flu`s type <br /> of wk wilt be completed whether specified brain or not The granting Ma permit does not presume to give authority toviolate or cancel the provisions of any other state or <br /> Meal law regulating construction or the performance of construction. That P em authored by the owner of this propertytoperform the work for wiich application is made end I <br /> comply with the State Contractors law le.27 ROW and 298100 WAC <br /> City of Everett Official Use Only <br /> 4/2 Al I PERMIT# <br /> . /sq <br /> OwneriAuthorizsd Agent Signatu ate (Revised 9/M016)) <br />