3410 30TH DR 2018-07-27 - Laserfiche WebLink

OrE77- ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 ,aye (P) 425-257-8810 I FAX 425-257-8857 I (E) everett�eps@everettwa.gov � www.everettwa.gov/permits bL X4'7,". ., 's 't13 :,-70, ,¢'re lvs .;eveA� F.I�f"�l^,4 r �,M- E h Y E ` ,�` ':ate F.4.;'.1 c1 ,; ;y PROJECT ADDRESS: 3410 30th Di BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFI3-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ® MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ,`i {L� ,s: 'r � ... , � n � � , ' �9�� ,t"��?��Y� y� i rhes „ �yre. ,�y ;n'� - : ! a'.�.. ... .. i '�,w d9s ,W 6'',.lcti 7 P.�Yaka.r. D`: . F tt�, C:.l tis k } ro k, :�'\3 ck CONTRACT PRICE OF WORK: $ 250.00 NUIVIRER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 200 AMP TEMP POWER POLE O Please call our office @ 253-872-6051 (ask for Alicia please for payment when permit is ready Thank you ,�,.,r �1,.c _ >,�,tt b � � � 'Ga�`�1�►Cf` r��'oRftilll t�"�i, �� 1 - i., ..:. .yiG.,.,.n f r,�•r✓.�"w��;7,.,:'i +�r.:1,� EE ,�..!.1. ,kill �;`,. ? , J OWNER NAME: Polygon Homes TENANT NAME Of Commercial): OWNER MAILING ADDRESS; STREET 11624 SE 5th St Suite 200 CITY Bellevue r STATE WA ZIP 98005 OWNER PHONE: 425586-7700 OWNER EMAIL: CONTRACTOR NAME; Garner Electric Washington LLC CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 cry Puyallup _ STATE WA ZIP 98371 CONTRACTOR PHONE: 253-8726051 CONTRACTOR EMAIL: bgerltele @gweusa_com C•ONTRACTOR LIC. (REQU•IRED: GARNPEWS64Kg CITY OF EVERETT BUSINESS LIC.#t REQUIRED : 052909 PRIMARY CONTACT: . 0 OWNER VI CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul Vantol CONTACT EMAIL: pvantol cr gweusa.corn AGREEMENT I hereby cerilry that I have read and examined this application and know the same to be true and correct All provisions oof laws and ordinances governing this type or 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 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 comply with the State Contractors Law 18.27 ROW and 296.200 WAC. City of Everett Official Use Only PERMIT# 2AE -0 5c1 1 owner/Authorized Agent 5l.nature I`�6) `� Date (Revised 9/23/2016)