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�ECTRICAL 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@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 35'I 3 3'I St Df, Everett, �/�/A <br /> BUILDING AREA(if residential, new construction, remodel, or addition) �,381 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 5 ❑ COMMERCIAL <br /> usE oF Bui��iN�: Residential use <br /> ELECTRICAL APPLICATION INFORMATION <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 F of Bldg 19, a residential 5-plex townhome <br /> CONTACT INFORMATION <br /> OWNER NAME: POIyg011 WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReer 11624 SE 5th Street, Suite 100 <br /> Be112VU2 CITY WA STATE 98005 ziP <br /> OWNER PHONE: 425.5H6.77O0 OWNER EMAIL: <br /> coNTRacroR NannE: Garner Electric Washington, LLC <br /> CONTRACTOR ADDRESS: srREEr 22425 - 72nd Ave S <br /> �,n Kent STATE WA Z,P 98032 <br /> CONTRACTOR PHONE: 253.872.6051 CONTRACTOR EMAIL: <br /> coNTRACTOR uc.#�REQuiRE�>: GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): J�j�()� <br /> PRIMARY CONTACT: � OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4Z5.5H6.77O0 <br /> Alan Pani CONTACT EMAIL: 8I811. 8tll O� onhomes.com <br /> P @P Y9 <br /> AGREEMENT:T hereby certi(y that/have read and examined this application and know the same to be true and correct. Al/provisions of laws and ordinances governing this <br /> type of work will be completed whether specified he�ein or not. The granting of a permit does not presume to give authonty to violate or cance/the provisions of any other state or <br /> local law regulating construction or the performance of consfruction. That/am authonzed by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ��� DD <br /> PERMIT# <br /> -�, zrz�l�b E I (��� - ( `� 7 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />