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,f,,,, ETR AL PERMIT AI LI ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwagov I www.everettwa.gov/perrriits <br /> k��,� � iii i � N c tE � _s� a�-�� � � .�, s s�Y` s i 2� ��-,� ' <br /> eNr <br /> PROJECT ADDRESS: 4422 30th Dr SE <br /> BUILDING AREA(if residential;new construction,remodel,or addition) SF` <br /> BUILDING TYPE: _0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> 3 <br /> CONTRACT PRICE OF WORK;$ 25th <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE.ALARM? ID YES ©NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 100 amp temp <br /> Lot 232 <br /> e_ V-9-0 L ^-o 1 <br /> Please call our office @ 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you <br /> Z- <Siit gg-'✓>.:\ ,! .E .,4 -- ' .a"" a mss^^ a a K <br /> OWNER NAME: Polygon Homes TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 <br /> CITY Bellevue sTaTs WA zeta 98005 <br /> OWNER PHONE: 425-586-7700 'OWNER EMAIL: <br /> CONTRACTOR NAME: Gamer Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave,NW Suite 106 <br /> carr Puyallup STATE WA ZIP 98371 <br /> CONTRACTOR PHONE: 253872-605°I CONTRACTOR EMAIL: b entete weusa com <br /> w <br /> CONTRACTOR LIC.#(REQUIRED). GARNEEW864KB CITY OF EVERETT BUSINESS LIC,#IREOUIIED):052909 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please.Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6 5I <br /> Paul Vantol CONTACT EMAIL: pvantol@gweusa.com <br /> AGREEMENT:NT:I hereby cedify that f have reed and examined this application end know the same to be titre and cstrect. All provisions of laws and ordinances governing this type <br /> of works will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or theperformance of construction. That t em authorized 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 /> 7. PERMIT# <br /> i <br /> ., /- i/ i .e/1 ,„, „fr <br /> i 9/5/17 E I r-40c't — D39-- <br /> 4` nor/Authorized Agent SI r atm Date (Revised 9/23/2016) <br />