3800 RIVERFRONT BLVD 2024-08-02 - Laserfiche WebLink

E =CTRICAL PERMIT AP; _KATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 41 St St, Everett, WA L660 PgMf_(Z6 K) $LV D BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 40,000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: Install two automated gates for access at Riverfront CONTACT INFORMATION OWNER NAME: Polygon WLH, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St, Suite 100 c,T,. Bellevue STATE WA ZP 98005 OWNER PHONE: (425) 586-7700 OWNER EMAIL: alan.panl@polygonhomes.com CONTRACTOR NAME: Polygon WLH, LLC CONTRACTOR ADDRESS: STREET 11624 SE 5th St, Suite 100 c,n Bellevue STATE WA zi, 98005 CONTRACTOR PHONE: (425) 586-7700 1 CONTRACTOR EMAIL: alan.pan i@polygorlhomeS.COm CONTRACTOR LIC.#(REQUIRED): polygwl863pW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053222 PRIMARY CONTACT: ❑ OWNER 10 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: (425) 586-7700 Alan Pani CONTACT EMAIL: alan.panl@polygonhomeS.com AGREEMENT:I hereby certify that t have read and examined this application and know the same to be 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 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 the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 9123/2016) / I