3315 30TH DR 2018-01-19 - Laserfiche WebLink

�ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION ' PROJECT ADDRESS:33�5 3Qth �r EVergtt �//� BUILDING AREA(if residential, new construction, remodel,or addition) 1,548 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: C ❑ COMMERCIAL usE oF Bui�oiN�: 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): �ESCRIPTION oF WORK: All required electrical work for new Unit E3A of Bldg 20, a residential 6-plex townhome CONTACT INFORMATION OWNER NAME:POIygOC1 WLH, LLC TENANT NAME(If Commercial): OWNER MAILWG ADDRESS: srREeT 11624 SE 5th Street, Suite 100 B211EVUe ciTv WA sTATe 98�05 ziP OWNER PHONE: 425.5H6.77O0 OWNER EMAIL: coNrrtacTOR N,annE: Garner Electric Washington, LLC CONTRACTOR ADDRESS: srReeT 22425 - 72nd Ave S �,n Kent STATE WA Z,P 98032 CONTRACTOR PHONE: 253.H72.6O51 CONTRACTOR EMAIL: coNTRacTOR uc.#�REQuiREo�: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: � OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.5H6.77O0 Alan Pani CONTACT EMAIL: aI811. 2C11 O� onhomes.com P @P Y9 AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correct. AIl provisions of laws and ordinances governing ihis type of work will be completed whether specified herein or not. The granting of a permit does not presume fo give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of thls property to perform ihe work for which application is made and I comply with ihe State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE LC�D �� l7� PERMIT# Q,QGL►1, �_ �Q.l'L�. 04.06.16 � l t�/D ( �� OwnerlAuthorized Agent Signature Date (Revised 10/12/2015)