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cLECTRICAL PERMIT AF I`LICATION <br /> 4--7- 7 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 J (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJeCT ADDRl=ss: 3347-A 31 st Dr �3 j l 7 A I <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHE=D ❑ SFR-ATTACHED Q DUPLEX 0 MULTI--FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: <br /> '' <br /> _1 MINEIRIM <br /> 7 <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES if low volts. q <br /> EIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Service power from transform 48175 <br /> New service pedestal for street fighting. PUD will not energize without new service stickers with the correct address. <br /> Please call our office @ 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you <br /> + -. Rrt 1! +a4f?r,,;�C?t mF, 'P�l{t i.aMk��+ il�h'�i_:;I:Ju..f•wxr l!<i A .n�.i ..: ., r.,..,.. ..:,r.�, y y.�< .i�',Y ��,^.. <br /> �, a+✓P ' -A� w 1 ,[,V�K HE�f�IV�.'+..C!�v r ar'IF'� +^ kt i w <br /> ,.,w .s is it t.rwc,a sf_;�, .-s-;.o rui�.a?:S t� .��.k' v K., ,,ah�3s ��1'< I��1>d.,., n <br /> OWNER NAME: polygon Homes TENANT NAME(If Commercial); <br /> OWNER MAILING ADDRESS: s.REET 11624 SE 6th St Suite 200 <br /> , Bellevue STATE WA ziP 98005 <br /> OWNER PHONE: 425-586-7700 OWNER rMAL, <br /> -. . <br /> CONTRACTOR NAmr;: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> ,R,. Puyallup sTATE WA Z,P 9837 <br /> CONTRACTOR PHONE; 253-812-6051 CONTRACTOR EMAIL: bgentele@gweusa.Com i <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEVl18641<13 CITY OF EVERETT BUSINESS LIG.#(REQUIRED)7 52909 <br /> - - - <br /> PRIMARY CONTACT: ❑OWNER 17 CONTRACTOR b OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-8726051 <br /> Paul Vantol CONTACT EMAIL: pvantol@gweusa.Com <br /> AGREEMENT.'I hereby certify that I have read and examined this applicatfon and know the same to be true+and corroct. All provisions of laws and ordinances governing this type <br /> 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 rhe provisions ofany other stat®or <br /> local law regulating con6fruction or the performance of construction. That 1 am authorized by the owner of thfs property to perform the work for which application/s mads and 1 <br /> comply with the State Contractors Caw 18,27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> O l � � E Pn4 - ( r3 <br /> Owner/Authorized AgeRt S gnature Date (Revised 9/2016) <br />