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aellP E TRICAL PERMIT AIL CAT1 N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps©everettwa,gov I www.everettwa.govlperrits <br /> 71.311141 <br /> PROJECT ADDRESS: 4424 River rant Blvd <br /> BUILDING AREA Of residential,new construction,'remodel,or addition) <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS; 0 COMMERCIAL <br /> USE OF BUILDING: <br /> r <br /> CONTRACT PRICE OF WORK:$ 250 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 100 amp temp <br /> Lot 222 <br /> Please call our office a@ 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you <br /> OWNER NAME:Polygon Homes TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11 624 SE 5th St Suite 200 <br /> crty Bellevue sun WA zo 98005 <br /> OWNER PHONE: 425-586-7700 <br /> CtWNEFt EMAIL: <br /> CONTRACTOR NAME: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> ,. Puyallup STATE WA zp 98371 <br /> CONTRACTOR PHONE: 253-872-8051 CONTRACTOR EMAIL: bgentele@gweusa.com <br /> CONTRACTOR LIC,#(REQUIRED): GARNEEW864KR CITY OF EVERETT BUSINESS LIC.#(REQUIRED);052909 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6051 <br /> Paul Vantoi CONTACT EMAIL:pvanto11 gweusa.com <br /> AGREEMENT.I 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 type <br /> 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 anyother state or <br /> local law regulating construction orr the performance of construction, That l am authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18,27 RCW and 296200 WAC <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner! uttharized Agen gnat Date (Revised 9/23!2016) <br />