Laserfiche WebLink
ELECOTRICAL PERMIT APPLICATION re,r„ <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 f FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> kotery ! !^ '.�' '9 ®, y r �� ® ° i' 1 C. 0 '1 ^��P �' r f �'P�; '`�`� e � S <br /> PROJECT ADDRESS: 3343 30th Dr <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED D SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ,;S.a r 41�; 7 '::0. tai. r <br /> N an 9 ... . .4 „:r..:'' $ li , { ri. . 0 r i nd . L M 4A%{ dye 01tlt <br /> CONTRACT PRICE OF WORK: $ 250.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES El NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable); <br /> DESCRIPTION OF WORK: 200 AMP TEMP POWER POLE <br /> Please call our office @ 253-872-6051 (ask <br /> �« 2� .. .> n.. )...... o> for Alicia please) for payment wh <br /> en permit <br /> i <br /> s ready Th, ank yo <br /> u <br /> N � i4w *mos Y1/ i`i ' '''',.,:7,":;..,',;:-:: t !�� �Vte <br /> �� „°,�� �7 i , I , i r. , kr,,i, . c,,, .,,,,„r,l,l 4i=i. yx,. v � . :, � :: .n :, „ 5 .. niAtF „, , 4L41 <br /> y.. <br /> OWNER NAME: Polygon Homes TENANT NAME If Commercial ; <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 <br /> CI7y Bellevue STATE WA ZIP 98005 <br /> OWNER PHONE: 425-586-7700 OWNER EMAIL: <br /> . .—.. .,:ti.o_ ,....cru.... <br /> CONTRACTOR NAME: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> cm Puyallup y STATE WA zip 98371 <br /> CONTRACTOR PHONE: 253-872-6051 ICONTRACTOR EMAIL: bgentele@gweusa.com <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB <br /> CITY OF EVERETT BUSINESS LIC,#(11=flUfRFD; 052909 <br /> PRIMARY CONTACT: ❑OWNER ca CONTRACTOR CI OTHER(Please Spe�y) <br /> CONTACT NAME; CONTACT PHONE: — <br /> 253-872-5051 <br /> Paul Vantol CONTACT EMAIL: vantol <br /> p @gweusa.cotn <br /> AGREEMENT:I hereby Certify that I have read and examined this application and know the same to be true and correct, All provisions or 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 any other state or <br /> local law regulating construct/on or the performance of construction. Thet t am authorized by the owner of this property to penorm the work for which application Is made and I <br /> comply with the State Contractors Law 18.27 ROW and 226,200 WAC. <br /> City of Everett oft7cial Use Only <br /> a <br /> 111411 PERMIT# <br /> ---(A (--teisH-C°1711 <br /> E no 5 - O. 'g i <br /> Owner/Authorized Agent SIgn ture I) to <br /> (Revised 9/23/2016) <br />