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ki;;47.7' EL!CTRICAL PERMIT APPLICATION <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.gov/permits <br /> PROJECT%SiITE INFORM1�TION <br /> PROJECT ADDRESS: 3347 31St Dr, Everett, WA <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 1,960 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: 5 0 COMMERCIAL <br /> USE OF BUILDING: Residential use <br /> ELECTRICAL APPLICATION INFORMATIONa, E <br /> CONTRACT PRICE OF WORK: $ has not been contracted at this time <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? El YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: All required electrical work for new Unit G of Bldg 8, a residential 5-plex townhome <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 or( 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 /> ciTv 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: l34 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani CONTACT EMAIL: alan. and@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 /> (a °� <br /> PERMIT# <br /> . - 5/(qi( E tic- 000 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />