3304 31ST DR 2018-01-16 - Laserfiche WebLink

�LECTRICAL PERMIT AP�LICATI N O CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-88'10 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:3304 �31 st Dr., Everett, WA BUILDING AREA(if residential, new construction,remodel,or addition) �,344 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 7 ❑ COMMERCIAL usE oF aui��iNc: Residential use ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ has not been contracted at this time NUMBER OF DEVICES (if low voltage): FIRE ALARM? �YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): oEscR�PT�oN oF woRK: All required electrical work for new Unit E1 D of Bldg 1, a residential 7-plex townhome CONTACT INFORMATION OWNER NAME:POIyg011 WLH, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREer 11624 SE 5th Street, Suite 100 B@112VUG' cirv WA srnTF 98005 ziP OWNER PHONE: 425.5HF).7700 OWNER EMAIL: CONTRACTOR NAME: Gafflef EIECtYIC WaSllltlgtOtl, LLC CONTRACTOR ADDRESS: sTRteT 22425 - 72nd Ave S �,n Kent ST„TE WA Z,P 98032 CONTRACTOR PHONE: 253.872.FiO5"I CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): GARNEEWHG4KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: �OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42�J.5HF).7700 Alan Pani corvrAcr EnnAi�: alan.pani@polygonhomes.com AGREEMENT:T hereby certify that I have read and examined this application and know the same to be frue 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 p�ovisions of any othe�state or local!aw regulating constniciion or the performance of const�uction. That 1 am authorized by the owner of this property to perform fhe work(or which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Offcial Use Only FEE � �� PERMIT# Q,ea.n� �_ l�an.L 05125/16 E � �Q" � /(( � OwnerlAuthorized Agent Signature Date (Revised 10/12/2015)