3458 31ST DR 2018-01-22 - Laserfiche WebLink

�LECTRICAL PERMIT �LICATION 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:34rj$ 3�St Df EV@f@tt WA BUILDING AREA(if residential, new construction, remodel, or addition) �,548 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 4 ❑ 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 ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION oF wORK: All required electrical work for new Unit E3A of Bldg 18, a residential 4-plex townhome CONTACT INFORMATION OWNER NAME:POlyg011 WLH, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET 11624 SE 5th Street, Suite 100 B211eVUe cirv WA sTnrE 98005 ziP OWNER PHONE: 425.586.7700 OWNER EMAIL: CONTRACTOR NAME: GBffl@f EI@CtfIC WBShltlgtOfl, LLC CONTRACTOR ADDRESS: sTREEr 22425 - 72nd Ave S cirv Kent sTnTE �NA ziP 98032 CONTRACTOR PHONE: 253.H72.6O51 CONTRACTOR EMAIL: coNTRACTOR uc.#�REQuiRE��: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: � OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.586.7700 Alan Pani coNr,acr Ennai�: alan. ani ol onhomes.com P @P Y9 AGREEMENT:T hereby certrfy that/have read and examined this application and know the same to be true and correct. A!1 provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authonty to vio/ate or cancel the provisions of any other state or local/aw�egulating 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 1 comp/y with the State Cont�actors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE � �� o0 PERMIT# � Z/2�/�� E � �O D� -- ' �� Owner/Authorized Agent Signature Date (Revfsed 10/12/2015)