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�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@everetiwa.gov � www.everettwa.gov/permits <br /> - PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:34GO 3'I St Df, Everett, WA <br /> BUILDING AREA(if residential, new construction, remodel, or addition) �,344 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 4 ❑ COMMERCIAL <br /> usE oF Bui��iN�: Residential use <br /> ELECTRICAL APPLICATION 1NFORMATION <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 /> DESCRIPTION OF WORK: All required electrical work for new Unit E1 D of Bldg 18, a residential 4-plex townhome <br /> . CONTACT INFORMATION <br /> OWNER NAME:POIygOfl WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srREET 11624 SE 5th Street, Suite 100 <br /> BeIIeVUe cirv �NA srarE 98005 ziP <br /> OWNER PHONE: 4Z5.586.7700 OWNER EMAIL: <br /> CONTRACTOR NAME: GafCl@f EI@Ctl'IC WBShlflgt011, LLC <br /> CONTRACTOR ADDRESS: sTReer 22425 - 72nd Ave S <br /> cirr Kent STATE �NA ziP 98032 <br /> CONTRACTOR PHONE: 253.H72.6051 CONTRACTOR EMAIL: <br /> coNrRacTOR uc.#�REQuiREo�: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(RECIUIRED): <br /> PRIMARY CONTACT: �OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.5H6.77O0 <br /> Alan Pani CONTACT EMAIL: a1811. 8111 OI 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 governing this <br /> type of work will be completed whether specified he�ein o�not. The granting of a permit does not presume to give authonty to violate or cancel the provisions of any other state or <br /> local law�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 <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 /> ��� ���.���� E ��0 � - ��-� <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />