3405 30TH DR 2018-07-26 - Laserfiche WebLink

OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits y , " .- 6r�; +n,, : 15 : � fi�` ;t ,. ,, ll3n0 - a ,12. PROJECT ADDRESS; 3405 30th Dr BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: D SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ® MULTI-FAMILY-#OF UNITS. O COMMERCIAL USE OF BUILDING: r.1 o ^j5.7 atw - ,^a a}. i § ,. a M( � •R � (Tn ? ;;CONTRACT PRICE OF WORK: $ 250.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? 1:::1 YES 0 NO ASSOCIATED BUILDING PERMIT#Jif applicable): DESCRIPTION OF WORK: 200 AMP TEMP POWER POLE 22_0( Y Please call our office @ 253-872-6055ask for Alicia please) for payment when permit is ready Thank you m � F^b /deliyteA;6em �4r p■pwatitii i d. a � ',Vokvr ..."r ...<R< ar? `I 4� „r,; < . .;fa i r "r. .. ti A,n _; { !�f. :;?;.,%,,, ,, _ � ;,o-,: d?.";::::!:,::;'ii:' ,..w:I �q . : 4,4g;ft'AVj� F2v., . OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 CITY Bellevue STATE WA ZIP 98005 OWNER PHONE; 425-586-7700 OWNER EMAIL: r . x... . . ....._,...,.,. CONTRACTOR NAME; Garner Electric Washington LLC CONTRACTOR ADDRESS; STREET 402 Valley Ave NW Suite 106 CITY Puyallup STATE WA ZIP 98371 CONTRACTOR PHONE: 253-872.-6051 _ CONTRACTOR EMAIL: bgentele cr gweusa.com CONTRACTOR Lic_##(REauIRED): GARNEEW864KB CITY OF EVERETT BUSINESS LIC.##(REQUIRED); 052909 PRIMARY CONTACT: 0 OWNER 171 CONTRACTOR I I OTHER(Please Specify) n � CONTACT NAME: CONTACT PHONE; 2534872-6051 Pall) Vantol CONTACT EMAIL; pvantol@gweusa.com 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 of work wi/I 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 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 end 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only2)12 ,` PERMIT# .; ' // _,i/ - / frr E no(-1, - -zzo Ow er/Authorized Agan Signature ate (Revised 9/23/2096)