4517 30TH DR SE 2018-12-31 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT T WA 98201 (P)425-257-8810 FAX 425-257-8857 (E)everettepa everettwagav woweverettwa.govipermits PROJECT ADDRESS: 4509 30th Dr SE BUILDING AREA(if residential,new construction,remodel,or addition) SF' BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED D 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: s ,tea . _ r3 , eF , CONTRACT PRICE OF WORK; 250 NUMBER OF DEVICES(if low voltage); FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT ft Of appli ti } DESCRIPTION OF WORK:; 1COAMP Temp Lot 248 Please call our mice 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you t OWNER NAME; Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smaer 11624 SE 5th St Suite 200 crry Bellevue 'STATE WA ZIP 98005 OWNER PHONE: 425-586«7700 OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: STREEI402.Valley Ave NW Suite 106 err Puyallup arm WA vp 98371 CONTRACTOR PHONE: 253-872-6051 _CONTRACTOR EMAIL: k entele gweusa.com; CONTRACTOR LIC.#(REQUIRED), GARNEEW864K8 CITY OF EVERETT BUSINESS UC.#(REQUIRED):052909 PRIMARY CONTACT: 0 OWNER . ra CONTRACTOR O'.OTHEI ^(P ase Spe6 y}, CONTACT NAME: CONTACT PHONE: 253-872-6051` Paul Vantol CONTACT EMAIL:pvantol gweusa.com AGREEMENT:I hereby certify that f have read and examined this appecat on and knowthe sameto be 9094and 00090t. Ad previsions of taws and ordinances governing this type of work will be completed whether specified herein or not. The venting of a:permit does not presume to give authority to violate orcancel the provisions of a►yotherstate or local Paw regulating construction or the perfonrrance of construction. That r am authorized by the owner ofthis prepertyto perform the work for which application is a ade and f; comply with the State Contractors.Law 18.27.RCS; and 2945.200 WAC City of Everett#biat Use Only PERMIT# • 11117 12/5117 E 2, ._Ozg et/Author) gent Sign ire Cate; (Revised 94312016)