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. � <br /> ELECTRICAL PERMIT A�PLICATION <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:33OH 3'I St DC., Everett, WA <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 1,344 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 7 ❑ COMMERCIAL <br /> usE oF Bui��iN�: 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 /> �ESCR�PT�oN oF wORK: All required electrical work for new Unit E1 B of Bldg 1, a residential 7-plex townhome <br /> CONTACT INFORMATION <br /> OWNER NAME:POIygOfl WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREer 11624 SE 5th Street, Suite 100 <br /> Bellevue �„Y WA STATF 98005 Z,P <br /> owNER PHONE: 425.586.7700 OWNER EMAIL: <br /> coNTRacTort NaME: Garner Electric Washington, LLC <br /> CONTRACTOR ADDRESS: srREET 22425 - 72nd Ave S <br /> �„Y Kent STATE WA Z,P 98032 <br /> CONTRACTOR PHONE: 253.H72.6O5� CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEWHC4KB CITY OF EVERETT BUSINESS LIC.#(REc1UIRED): <br /> PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.5H6.77O0 <br /> Alan Pani corvrACT Ennai�: alan. ani ol onhomes.com <br /> P @P Y9 <br /> AGREEMENT:T hereby certify that I have read and examined this application and know 1he same to be true and correct. All 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 aulhority to violate or cancel the provisions of any other state or <br /> local law regulating const�uction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE � <br /> � <br /> C <br /> PERMIT# <br /> (�,a.n� �_ l�an� 05125/16 E � (1��-l - ( � �/ <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015J <br />