4319 30TH DR SE 2017-06-07 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-2578810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov WWW.everettWa-govlpermits PROJECT ADDRESS: 4319 30th Dr SE 13UILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED d SFR-ATTACHED ❑ DUPLEX d MULTIFAMILY-#OF UNITS; ❑COMMERCIAL USE OF 13UILDING_ <., L�CTk11CA� q � . ,:,�,,.r. , tr�N �1vFORAbTIroN CONTRACT PRICE OF WORK. $ 750 NUMBER OF DEVNCES if low voltage : FIRE ALARM? ❑YES E1 NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Adding two oulets in master bath. Moving one hallway can and adding one hallway can- Simpson lot 158 CONTACT NFO' IYIpTfON . OWNER NAME: Polygon Homes TENANT NAME(If Cotntilarcial). OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 Bellevue STAYE WA zJF 98005 OWNER PHONE: 425-5867700 OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: S7REET402 Valley Ave NW Suite 106 'IT,Puyallup STATE WA z,P 98371 CONTRACTOR PHONE; 253-872-6051 CONTRACTOR EMAIL; droberts@gWeusa.Com CONTRACTOR LIC.#(REQUIRED): GARNEEW864KBICITY OF EVERETT BUSINESS LIC.#REQUIRED): 052909 PRIMARY CONTACT: ❑OWNER 21CONTRACTOR El OTHER(Please Specify CONTACT NAME: CONTACT PHONE: 2553-872-6051 Dale Roberts CONTACT EMAIL: agentele@gweusa.eom AGREEM51VT!heraby certify that 1 have read and ex8m7ned this app6oatior and know the same to be true and correct. All provisions of laws and ordinances governing this type Of work will be coMpleted whetpet specified herelh or not. The granting of.9 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 proparty to perform the work for which application is made and 1 comply with the State Contractors Law 98.27 ROW and 296.200 WAC. city of Fverett offlcial use only ArlAutl.rizal PERMIT# 2/28/17 E I-IDb-004 Agent I na Gig Date (Revised 9/23/2096)