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�LECTRICAL PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:33O6 3'I St DC., Everett, WA <br /> BUILDING AREA(if residential, new construction, remodel,or addition) �,332 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 7 ❑ COMMERCIAL <br /> usE oF Bui��iNc: Residential use <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ has not been contracted at this time <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? �YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> oESCRIPTION OF wORK: All required electrical work for new Unit E1 C of Bldg 1, a residential 7-plex townhome <br /> CONTACT INFORMATION <br /> OWNER NAME:POIygOil WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srREET 11624 SE 5th Street, Suite 100 <br /> Bellevue �,� WA STATF 98005 Z,P <br /> owNER PHONE: 425.586.7700 OWNER EMAIL: <br /> coNTR,acTOR N,annE: Garner Electric Washington, LLC <br /> CONTRACTOR ADDRESS: srREET 22425 - 72nd Ave S <br /> �,n Kent STATE WA Z,P 98032 <br /> CONTRACTOR PHONE: 253.H72.6O5� CONTRACTOR EMAIL: <br /> coNTw�cTOR�ic.#�REQuiRE��: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.5H6.77O0 <br /> Alan Pani coNTACT Ennai�: alan.pani@polygonhomes.com <br /> AGREEMENT:T hereby ceRify that I have read and examined this application and know the same to be true and correct. A!I 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 o�the performance of construction. That I am authorized by the owner of this propeRy to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use Only <br /> FEE O <br /> � ��0 <br /> PERMIT# <br /> Q,Qa.n, �_ /�a.�,i, 05125116 E (�00� � l � I <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />