4418 29TH AVE SE 2018-03-29 - Laserfiche WebLink

LLECTR C L. PERMIT Al.L.ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 i E)everetteps@everettwa:.gov I www.everettwa.gov/permits 4'd � I� ,. • • : . . . i.'a n�';'1E.! www v r .. x ® „ PROJECT ADDRESS:4418 29th Ave SE BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: CZI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: sy� y 3 t �� i�""5 «''".**0.""`4. 4 Viol `ftp 9 4 ,� : CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ©YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 100 amp temp Lot 210 Please call our office @ 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you -.;.:-;,--,-;-.1,3-.1:4f1: ,,,,',-: , OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 crry Bellevue STATE WA ala 98005 OWNER PHONE: 425-586-7700 OWNER EMAIL: CONTRACTOR NAME: Gamer Electric Washington LLC CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 1061 cm Puyallup STATE WA zip 9$371 ' CONTRACTOR PHONE: 253.872-6€51 CONTRACTOR EMAIL: bgentee( weusa.com CONTRACTOR LIC,#(REQUIRED): CARNEEW864K8� __CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052909 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul Vantol CONTACT EMAIL:pvantol gweusa. of AGREEMENT.I hereby certify that I have read and'examined this application and know the same to be true end correct All provisions of taws and ordinances governing this type of work will be completed whether specified herein or not. 7 he granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local 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! comply with the State Contractors Law 18.27 ROW and 298.200 WAC. City of Everett Official Use Only PERMIT# 1 �A A' is \�o9 ... 03 . Ow`er!Authorized Agent SI.nature Date (Revised 9/2312016)