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ELECTRICAL PERMIT APkICATION <br /> Ya CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> t� � �l.a. ll� Ilf��''1Q.i�7n ..P_S f•,• .t, <br /> PROJECT ADDRESS: 4511 River-front Blvd <br /> BUILDING AREA(if residential,new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX 10 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: <br /> ............. . <br /> _.. t is :: .; .$.i <br /> ..._........... ..................._---............._._............ .... • 'IM .. . 1111 ,.. ........... <br /> .. :... ..:. . ..::... ..... .... �...< �.._...-. ... : . : :` ; : °. <br /> CONTRACT PRICE OF WORK:$ 500 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 100A new permanent service Metered Pedestal with 2-20A circuits for irrigation power. <br /> Please call our office @ 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: STREEr 11624 SE 5th St Suite 200 <br /> enY Bellevue STATE WA ziP 98005 <br /> OWNER PHONE: 425-586-7700 OWNER EMAIL: <br /> CONTRACTOR NAME: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> carr Puyallup STATE WA Z,P 98371 <br /> CONTRACTOR PHONE: 253-872-6051 ,CONTRACTOR EMAIL: bgentele@gweusa.com <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB ]CITY OF EVERETT BUSINESS LIC.#{REQUIRED): 052909 <br /> PRIMARY CONTACT: in OWNER 121 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6051 <br /> Paul Vantol CONTACT EMAIL: pvantol@gweusa.com <br /> AGREEMENT:t hereby certify that!have read and examined this application and know the same to be true and correct. Ail 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 any other state or <br /> local law regulating construction or the performance of construction. That lam 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 and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ei/(16e(ii, Li4r. / ) l i7 E 0-0 (olt <br /> Owner/Authorized Agent Signature l Date (Revised 9/23/2046) <br />