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tLECTRICAL PERMIT APPLICATION
<br /> 0:77- CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I (F) everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 3424-A 30th Dr
<br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF
<br /> BUILDING TYPE: CI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX la MULTI-FAMILY-r#OF UNITS: ❑ COMMERCIAL
<br /> USE OF BUILDING:
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<br /> CONTRACT PRICE OF WORK: $ c C)
<br /> NUMBER OF DEVICES (if low voltage):
<br /> FIRE ALARM? CI YES ❑ NO
<br /> ASSOCIATED BUILDING PERMIT# if a•■licable : •
<br /> DESCRIPTION OF WORK: Service power from transforrr 4817)
<br /> New service pedestal for street lighting. PUD will not energize without new service stickers with the correct address.
<br /> Please call our office © 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you
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<br /> OWNER NAME: Polygon Homes TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200
<br /> cm Bellevue STATE WA ZIP 98005
<br /> OWNER PHONE; 425-586-7700 OWNER EMAIL:
<br /> CONTRACTOR NAME: Garner Electric Washington LLC
<br /> CONTRACTOR ADDRESS: STREET402 Valley Ave NW Suite 106
<br /> cTr PuyeIIUp STATE WA Zip 98371
<br /> CONTRACTOR PHONE: 253-8725051 CONTRACTOR EMAIL: bgentele@gweusa.com
<br /> CONTRACTOR LIC_#(REQUIRED): GARNEEW864K13 CITY OF EVERETT BUSINESS LIC.#f((REQUIRED): 052909
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<br /> PRIMARY CONTACT: 0 OWNER VI CONTRACTOR C1 OTHER(Please Specify),
<br /> CONTACT NAME: CONTACT PHONE: 253-872-6051
<br /> Paul Vantol CONTACT EMAIL: pvantOl@gWeUSa,COm
<br /> AGREEMENT:1 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 /> 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 or 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/
<br /> comply with the State Contractors Law 18.27 RCW end 255,200 WAC.
<br /> City of Everett Official Use Only
<br /> �-. PERMIT#
<br /> E• r16NAuthorized Agent Signature 4/20bl
<br /> (Revised 9i23/20ia)
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