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44err. ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425257-8810 I FAX 425-257-8857 1 (E) everetteps c@everettwa.gov I www.everettwa.gov/permits • <br /> great-it:"� �I'' tl' .G �i'.:i. i• '.t7L�4,3., •, � .. '� ,. '.' fit „t� a; .J` ��f <br /> itliA3, �'., - 'A\ .�I xTS ' rR'tredrr :'d afAbr"i'12 .jk, • .1°'. TA <br /> PROJECT ADDRESS: 3409 31st Dr <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED El DUPLEX 14 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING; —" <br /> •n` ,.xxyx nn 1' r� <br /> • !l§ 5 ' � �£ v;� � , F., ' � <br /> alq <br /> CONTRACT PRICE OF WORK: $ 250.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES =NO <br /> ASSOCIATE))BUILDING PERMIT#(if ap.licable): <br /> DESCRIPTION OF WORK: 200 AMP TEMP POWER POLE 05 <br /> Please call our office © 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you <br /> 1 '1 J I � +` x,15 I f., � i^}F�'.,,.�rSZ��4yh E f t�Yff 5�,,¢¢Z,�,1x011���{.►�'R II���.l A ! �t S 4'$S�'!®� Q ySS Y'�19f S 111 p r 2i � ` Y <br /> .,.. �...".'. t;r.l.. .rt 4`Yr � .:.h ,t h2�8 f'a' ll!N•i✓,F..✓.,.Yl 1,f. .} J'4��� fl, A+ <br /> ;.r;{�E,l�1 , 7t1 ( Rl� TES j r 1 I :il.0 <br /> OWNER NAME: Polygon Homes f <, r. _ .• 8�, tik,"�M1.,:le�F,•Iw,,u,rrlA �L^x!i�'. il,. !. . <br /> TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: Si-RET- 11624 SE 5th St Suite 200 <br /> C,n Bellevue SrATC WA ZIP 98005 <br /> OWNER PHONE: 425-586-7700 OWNER EMAIL; <br /> CONTRACTOR NAME: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: sTRaET 402 Valley Ave NW Suite 106 <br /> • <br /> c,,, Puyallup <br /> STAT2 WA 21P 98371 <br /> CONTRACTOR PHONE; 253-872-6051 CONTRACTOR EMAIL: bgentele p@gweusa,corn <br /> CONTRACTOR LIC,.(REQUIRED): GARNEEW864K8 CITY OF EVERETT BUSINESS LIC:#(REQUIRED): 052909 <br /> PRIMARY CONTACT; in OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME; CONTACT PHONE: 253-872-6051 <br /> Paul Vantol CONTACT EMAIL; pventol@gweusa.corn <br /> AGREEMENT:1 hereby certify that I have reed end examined this application and know the same to be true and correct. All 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 lew regulating construction or the performance of construction. That I am authorized by the owner or this property to perform the work ror which application is made and 1 <br /> comply with the State ContraCfors Law 78.27 RCW end 290.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 2 i - / /iii E I � —2t cl <br /> wneriAuthorized Agent Signet • Date <br /> (Revised 3/23/2496) <br /> 1 <br />