3517 31ST DR 2018-02-05 - Laserfiche WebLink

�LECTRICAL PERMIT �PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everetiwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3517 31 St Df, Everett, V�IA BUILDING AREA(if residential, new construction, remodei, or addition) �,381 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: 5 ❑ 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 voltage): FIRE ALARM? � YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): �ESCRIPTION oF wORK: All required electrical work for new Unit F of Bldg 19, a residential 5-plex townhome CONTACT INFORMATION OWNER NAME:POlygOfl WLH, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReEr 11624 SE 5th Street, Suite 100 BelleVue arv WA srnTE 98005 ZiP owNER PHONE: 425.586.7700 OWNER EMAIL: coNTRAcroR NAnnE: Garner Electric Washington, LLC CONTRACTOR ADDRESS: sTREEr 22425 - 72nd Ave S ciTv Kent sraTE WA ZiP 98032 CONTRACTOR PHONE: 253.872.6051 CONTRACTOR EMAIL: coNTR,acTOR 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.pani@polygonhomes.com AGREEMENT:T he�eby certify that 1 have read and examined this application and know the same to be true and correct. Al/provisions of laws and ordinances governing this type of work wil/be completed whether specified herein or not. The granting of a permit does not presume to give authority to vio/ate or cancel the provisions of any other state or loca/law regulating 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use On/y FEE 1 �� °� PERM4T# 2� ��z��b E (�� - �� OwnerlAuthorized Agent Signature Date (Revised 10/12/2015)