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�ECTRICAL PERIVIIT AP�ICATION <br /> �y 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 INFOR�WATION <br /> PROJECT ADDRESS:3323 3OtIl DC, Everett, WA <br /> BUILDING AREA(if residential,new construction, remodel,or addition) 1,344 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 617 MULTI-FAMILY-#OF UNITS: 6 ❑ COMMERCIAL <br /> usE oF Bui��iNc: Residential use <br /> ELECTRICAL APPLICATION IINFORMATION <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 /> �ESCRiPTioN oF woRK: All required electrical work for new Unit E1 D of Bldg 20, a residential 6-plex townhome <br /> CONTACT INFORMATION <br /> OWNER NAME:POIyg011 WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET 11624 SE 5th Street, Suite 100 <br /> Bellevue �,n WA STATE 98005 Z,P <br /> OWNER PHONE: 425.586.7700 OWNER EMAIL: <br /> coNrRacTort n►annE: Garner Electric Washington, LLC <br /> CONTRACTOR ADDRESS: srREEr 22425 - 72nd Ave S <br /> �,N Kent STATE WA Z,P 98032 <br /> CONTRACTOR PHONE: 253.H72.6O51 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEWHF4KB 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: Blall. 8111 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 correct. All provisions of laws and ordinances gove�ning this <br /> type of work will be completed whether specified herein or nof. The granting of a permit does not presume to give authority to violate or cancel the provisions of any oiher state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the Stafe Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> c � , Q� <br /> PERMIT# <br /> l.li,Q(�►1, �_ �q.l'L1� 04.06.16 � `((l D 1 ' I� � <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />