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. • • <br /> ELECTRICAL PERMIT APPLICATION <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:331 O 31 St Dr., Everett, WA <br /> BUILDING AREA(if residential,new construction, remodel,or addition) 1,332 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 7 ❑ COMMERCIAL <br /> USE OF BUILDING: f2@Sld@CltlB� 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 E 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: srReeT 11624 SE 5th Street, Suite 100 <br /> BEIIeVUe cirv WA STATE 98005 ziP <br /> OWNER PHONE: 425.5H6.T7OO OWNER EMAIL: <br /> coNTRa,cTOR NaME: Garner Electric Washington, LLC <br /> CONTRACTOR ADDRESS: sTREEr 22425 - 72nd Ave S <br /> �,n Kent STATE WA Z,P 98032 <br /> CONTRACTOR PHONE: 253.H72.6O5� CONTRACTOR EMAIL: <br /> coNTRacTOR uc.#�REQuiRE��: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: � OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.5HF).7700 <br /> Alan Pani CONTACT EMAIL: alall. BCII O� onhomes.com <br /> P @P Y9 <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correcf. All provisions of laws and ordinances governing this <br /> type of work wil/be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel!he provisions of any other state or <br /> local law regulating construction or ihe per(o�mance of construction. That I am authorized by the owner o(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 /> � �D p0 <br /> PERMIT# <br /> Q.F'.an� �_ �a,n.i. 05/25/16 E ���� �( � � <br /> Owne�rlAuthorized Agent Signature Date (Revised TO/12/2015) <br />