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4rETT _ECTRICAL PERMIT PmmLICATION <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@everettwa.gov I www.everettwa.govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:3109 44th St. SE, Everett, WA 98201 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 1,970 SF <br /> BUILDING TYPE: ® SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residential use <br /> • <br /> :ELECTRICAL APPLICATION INFORMATION,: <br /> CONTRACT PRICE OF WORK: $ has not been contracted at this time <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ®YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: All required electrical work for new single family residence - 3015B residence <br /> CONTACT INFORMATION. <br /> OWNER NAME:Polygon WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th Street, Suite 100 <br /> Bellevue crry WA STATE 98005 ZIP <br /> OWNER PHONE: 425.586.7700 OWNER EMAIL: <br /> CONTRACTOR NAME: Garner Electric Washington, LLC <br /> CONTRACTOR ADDRESS: STREET 22425 - 72nd Ave S <br /> CITY Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE: 253.872.6051 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani CONTACT EMAIL: alan. aril@P Y9 of onhomes.com <br /> p <br /> 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 <br /> type of work 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 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 4;\2—Cov <br /> PERMIT# <br /> a an, �_ Pant 06/09/16 E\ (0 t - (0-1 eY) <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />