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4/6-TT ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3018 46th PL SE, Everett, WA 98201 �,,� <br /> BUILDING AREA(if residential, new construction, remodel, or addition) .2 I Ly f2ii. 73SF <br /> BUILDING TYPE: ® SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: Residential use <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ has not been contracted at this time I ODO 6-(- <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ®YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: All required electrical work for new single family residence- 3581A residence <br /> CONTACT INFORMATION <br /> OWNER NAME:Polygon WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th Street, Suite 100 <br /> Bellevue crry WA STATE 98005 ZIR <br /> OWNER PHONE: 425.586.7700 OWNER EMAIL: <br /> CONTRACTOR NAME: Garner Electric Washington, LLC <br /> CONTRACTOR ADDRESS: STREET 22425 - 72nd Ave S <br /> c„-, Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE: 253.872.6051 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: N OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani CONTACT EMAIL: alan. and@P Y9 of onhomes.com <br /> p <br /> AGREEMENT.T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> `)__Do <br /> PERMIT# <br /> ataM, _ {arcs, 09/28/18 E Ib2,- <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />