3516 31ST DR 2018-01-22 - Laserfiche WebLink

�LECTRICAL PERMIT A�LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetiwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3516 31 St Df, Everett, V�/A BUILDING AREA(if residential, new construction, remodel, or addition) 1,344 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 4 ❑ COMMERCIAL usE oF Bui��iN�: Residential use ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ has not been contracted at this time NUMBER OF DEVICES (if low voitage): FIRE ALARM? � YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: All required electrical work for new Unit E1 D of Bldg 18, a residential 4-plex townhome CONTACT INFORMATION OWNER NAME:POIygOCI WLH, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREEr 11624 SE 5th Street, Suite 100 BEIIeVUe cirr WA sTnrE 98005 ZiP OWNER PHONE: 425.586.7700 OWNER EMAIL: CONTRACTOR NAME: G8fC1@f EleCtflC WaShlllgt011, LLC CONTRACTOR ADDRESS: srREEr 22425 - 72nd Ave S ci7v Kent srnrE WA ZiP 98032 CONTRACTOR PHONE: 253.872.6051 CONTRACTOR EMAIL: coNTRACTOR uc.#�REQuiRE��: GARNEEW864KB CITY OF EVERETT BUSINESS UC.#(REQUIRED): PRIMARY CONTACT: � OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.586.770� Alan Pani CONTACT EMAIL: alafl. at11 O� onhomes.com P @p Y9 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 type of work wil/be comp/eted whether specified herein or not. The granting of a permit does not p�esume to give authority to violate or cancel the provisions of any other state or loca/law�egulating construction or the performance of construction. That 1 am autho�ized by the owner of this property to perform the work for which application is made and 1 comp/y with the State Contractors Law i8.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �� PERMIT# �� a��c� E �'�9 D �' � �� ��J Owner/Authorized Agent Signature Date (Revised 10/12/2015)