Laserfiche WebLink
�LECTRICAL PERMIT A�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:33�L� 3�St Df. EV2f@tt WA <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 1,548 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 7 ❑ COMMERCIAL <br /> usE oF Bui�oiN�: 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�otv oF wORK: All required electrical work for new Unit E3A of Bldg 1, a residential 7-plex townhome <br /> CONTACT INFORMATION <br /> OWNER NAME: POIygO(1 WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srREEr 11624 SE 5th Street, Suite 100 <br /> Be112VU2 ciTv WA srnrE 98005 ziP <br /> OWNER PHONE: 425.586.7700 OWNER EMAIL: <br /> coNrRacTOR NannE: Garner Electric Washington, LLC <br /> CONTRACTOR ADDRESS: sTREEr 22425 - 72nd Ave S <br /> aTv Kent sTaTE WA ZiP 98032 <br /> CONTRACTOR PHONE: 253.872.605� CONTRACTOR EMAIL: <br /> coNTR,acroR�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 EMAIL: 8I8f1. afll OI onhomes.com <br /> P @P Y9 <br /> AGREEMENT:T hereby certi(y that/have read and examined this app/ication and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type of work wi/l be comp/eted whether specified herein or not. The granting of a permit does not presume fo give authonty to violate or cancel the p�ovisions of any other state or <br /> local law regulating construction or the perfo�mance of construction. That 1 am authorized by the owner of this property 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 Official Use Only <br /> FEE � <br /> ��� <br /> PERMIT# <br /> �an, �_ f a.n.i. 05/25/16 E l �0 0 I-���� <br /> Owner/Authorized Agent Signature Date (Revised 10/?2/2015) <br />