3325 30TH DR 2018-01-22 - 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:3325 3Qth DI" EV2f@tt WA BUILDING AREA(if residential, new construction, remodel,or addition) �,560 SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 6 ❑ COMMERCIAL usE oF Bui��iNc: 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 ❑ NQ ASSOCIATED BUILDING PERMIT#(if applicable): DESCR�PT�oN oF WORK: All required electrical work for new Unit E3B of Bldg 20, a residential 6-plex townhome CONTACT INFORMATION OWNER NAME:POIygOn WLH, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srrzEET 11624 SE 5th Street, Suite 100 Bellevue �,n WA STATE 98005 Z,P OWNER PHONE: 425.5H6.77O0 OWNER EMAIL: coNTRacTOR NaME: Garner Electric Washington, LLC CONTRACTOR ADDRESS: sTReeT 22425 - 72nd Ave S �,,,, Kent STATE WA Z,P 98032 CONTRACTOR PHONE: 253.H72.F)O5'I CONTRACTOR EMAIL: coNTRacTOR�ic.#�REQuiREo�: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.586.7700 Alan Pani CONTACT EMAIL: alafl. 8111 O� onhomes.com P @P Y9 AGREEMENT:T hereby ceRify that I have read and examined this application and know ihe same to be true and correct. All provisions of laws and ordinances goveming this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give author'Ry to violate or cancel the provisions of any other state or loca!law regulating constniction or the performance of construction. That I am authonzed by the owner ot this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE � �� PERMIT# l�t,e,p,l1, �_ �A,l1.1. 04.06.16 `— I � �� V OwnerlAuthorized Agent Signature Date (Revised 10/12/2015) I��