4606 31ST AVE SE 2020-07-13 - Laserfiche WebLink

#1111,11.:- ELECTRICAL PERMIT APPLICATION ATIO a CITY:OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, E ` RET ,WA 98201 (P)425.257-8810 I FAX 425257-8857 1 (E) v rett p .gowvov.everettwagovipennits PROJECT ADDRESS: 4606 31st Ave SE BUILDING AREA(if residential,newconstruction,remodel,or addition) SF BUILDING TYPE: LI SFR-DETACHED CI SFR-ATTACHED 0 DUPLEX CI MULTI-1•=`f ILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES CI NO ASSOCIATED BUILDING PERMIT#Of applicable): DESCRIPTION OF`WORK: 100 amp temp Simpson 330 Please call our office @ 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you :� a .g03,14,0-1,15 -!y,,� a � OWNER NAME: Polygon NOmeS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 ciry Bellevue , sTATE WA zip 98005 OWNER PHONE: 425-586-7700 lOWiIWER EMAIL: CONTRACTOR NAME: Gamer Electric Washin ton LLC CONTRACTOR ADDRESS: meet 402 Valley Ave NW Suite 106 crr, Rtiyallup STATE WA zip 98371 CONTRACTOR PHONE: 253-872-6051 'CONTRACTOR EMAIL: bgentete@gweusaicom CONTRACTOR LW.#(REQUIRED): GARNEE 8' :B CITY OF EVERETT BUSINESS LIC.#(REQUIRED):052909 PRIMARY CONTACT: C7 OWNER 0 CONTRACTOR 0 OTHER(Please Spec s) CONTACT NAME: CONTACT PHONE: 253-872.6051 . Paul Vantol CO "TACT E L: pvantoI giweusa.com .:. AGR 'EIYfENT:•I hereby certify that t have toad and examined this sok-cation and know the same to be true:and coma Ail providons of laws and ordinances;governing this type, of work will be completed whether specified herein or The granting of a; rmrt does not presume to give euthonlyto violate or cancel Me prev ons of any other state or foal law regulating construction or the performance of construction That I am authorized by the owner d f this property to perform the work for which application is made and 1 comply with the Stale Contractors Law 16.27 ROW and 2#6.200 WA City of Everett Official Use Only ...... a _._.. i .. PEANUT# i /7/ *frit 4/ f A E101t6- 14 I OwneclA horized Agent Signer to (Revised 9/23/2016)