3511 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: 3rJ"I� 3'I St Df, Everett, �/�//� BUILDING AREA(if residential, new construction, remodel, or addition) 1,960 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 5 ❑ COMMERCIAL USE OF BUILDING: R2SId@fltl8l US@ 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 G of Bldg 19, a residential 5-plex townhome CONTACT INFORMATION OWNER NAME:POIygOn WLH, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT 11624 SE 5th Street, Suite 100 Bellevue �,n WA STATE 98005 Z,P OWNER PHONE: 425.5H6.77O0 OWNER EMAIL: CONTRACTOR NAME: G8ff1@f EleCtf IC WBShlfigtOn, LLC CONTRACTOR ADDRESS: sTREEr 22425 - 72nd Ave S aTv Kent sTaTE �NA ziP 98032 CONTRACTOR PHONE: 253.H72.6O5� CONTRACTOR EMAIL: coNTRACTOR uc.#�REQuiRE��: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ! �(�� PRIMARY CONTACT: �OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.5HG.77OO Alan Pani CONTACT EMAIL: alafl. 8f11 O� onhomes.com P @P Y9 AGREEMENT: T he�eby ceriify that I have read and examined this application and know the same to 6e true and cor�ect. Al/provisions of/aws and ordinances governing this type of work will be completed whether specified herein o�not. The granting of a permit does not presume to give authonty to violate or cancel the provisions of any ofher state or local law regulating construction or the performance of construction. That 1 am authonzed by the owner of 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 O�cial Use Only FEE /}� .�f,p�-1 `L_j U U(J PERMIT# �� 2� �z E f � r� �� r �� z� Owner/Authorized Agent Signature Date (Revised 10/12/2015)