4435 30TH DR SE 2018-03-30 - Laserfiche WebLink

tilLECTICAL PERMIT AILICATIN CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everetvagov I www.ev rettw govlpermits n r ;; g�;' --- ; d! w ,. a v r r PROJECT ADDRESS: 4423 30th Dr SE BUILDING AREA(if residential,new construction, remodel,or addition) SF` BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 100 amp temp Lot 242 Please call our office @ 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you OWNER NAME: Polygon Homes TENANT NAME(If Commercial}: OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 crry Bellevue STATE WA ZAP 98005 OWNER PHONE: 425-586-7700 OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 d cry Puyallup STATE WA Zin 1371 CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: bgentele ,gweusa.com CONTRACTOR LIC. RE{ IIIEDi: GARNEEW884KB 'CITY OF EVERETT BUSINESS UC,#(REQUIRED):052909 PRIMARY CONTACT: 0 OWNER ISI CONTRACTOR Cl OThhIER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul V nt l CONTACT EMAIL:pvantol©gWBUSB,com AGREEMENT:I hereby certify that i have read end examined this application and know the same to be true and correct. All provisions of laws and ordinances goueming this type of work will be completed whether specified herein or not. The granting eta 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC City of Everett Official Use Only t iAPERMIT/f 7 friff 9/5/1 E "tea - 0 3g Owner/A thorized Agent Sig tuna Date (Revised 9,2312016)