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atLECTRICAL PERMIT XPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425.257-8857 (E)ev retteps everetfwa gov I www.ev ret a gavdpermits <br /> ,A I 4a•ash' . 'r " .._ � 1 s K a7,--‘,1:, 1. <br /> a_ <br /> PROJECT ADDRESS: 4517 31st Ave SE <br /> BUILDING AREA(if residential,new construction, model,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 S,R-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> .:5141,41',"-,- :3V.=. ';k'� + ..:4 <br /> i fir' a a <br /> CONTRACT PRICE OF WORK:$ 200 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO -- <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Add 2 exterior lights on Job Trailer lot 281 OW t---1 j�, ''• • <br /> t q.oc&. -OS . <br /> Please call our office ©253-872-6051 (ask for Alicia please)for payment uv en permits ready Thank you <br /> E <br /> a �S ODM ,15 .a f ? „ I <br /> ",,, a� a a�', ''. 1 y ) r o _ ��, r <br /> OWNER NAME: Polygon Homes TENANT NAME(If Commercial): <br /> OWNER.MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 <br /> cry 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 /> CITY Puyallup sTATE WA zip 98371 <br /> CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: erltele©gWeuSBcom <br /> CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB CITY OF EVERETT BUSINESS IC,#(R QUIRED):052909 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6051 <br /> Paul Vantol CONTACT EMAIL:pvantol gweusa cvm <br /> AGREEMENT:I hereby cenify that i have read and examined this application and know the same to be true and coned. All provisions of taws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The greeting of a permit does notpreeeme to ove eutharity to violate or cancel the prvisions of any other state or <br /> local law regulating construction or the performance of construction. That t am authorized by the owner of this property to perform the work for which application is mark and i <br /> comply with the State Contractors Law 38.27 RCW and 298.200 WAG. <br /> City of Everett Official Use Only <br /> I <br /> e <br /> PERMIT* <br /> j 'n i '( <br /> it(ltit, ,,i , ;-) <br /> r /"1 7E c ecD9 - 1 <3 <br /> owner/Autllartaed Agent SISum Date (Revised 9x2312€}18) <br />