3412 31ST DR 2019-01-09 - Laserfiche WebLink

._ ..STRIA PERMIT AAICATION �, CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 ( (E)everettepsceverettwa,gev I www.everettwa.govipermits .�t r--,'', '',,' `� q_ a s, ,tea a 1.. x PROJECT ADDRESS: 3412 31st Dr BUILDING AREA(if residential,new construction,remodel,or addition) _ SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX EZI MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ,' ' r �K .a4 1 r ,: a ,�tea.a ��°K,.gI T'�Ae� ,� e i�. ��Y't�i5�« � fix...,,.:�nm. �;�.� �4� ��'u u�' � v''�a� ,1:� CONTRACT PRICE OF WORK: $ 250 NUMBER OF DEVICES(if low voltage): FIRE ALARM? El YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 200 amp temp CiCaoL4 - OVa BLDG 13 Please call our office 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you ,,_OWe„-_,W ' x. , AfiWw , . . �� 2 _1_"�b.;� �i _ _ y � y� ria 1 � � ..,. OWNER NAME:Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 nr� on. Bellevue STATE WA ZIP 98005 OWNER PHONE: 425-586-7700 OWNER EMAIL: CONTRACTOR NAME: Gamer Electric Washington LLC CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 coy Puyallup STATE WA zip 98371 CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: bgenteleaa gweusa. m CONTRACTOR LIC.#(REQUIRED): GARNEEW864KB ;CITY OF EVERETT BUSINESS Lie.#(REQUIRED). 052909 PRIMARY CONTACT: 0 OWNER fli CONTRACTOR C]OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul Vantol CONTACT EMAIL:pvantalt gweusa.com AGREEMENT:I hereby certify that I have reed and examined this application end know the same to be true and correct. All previsions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting ofa permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of oonstruchem That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 ROW and 298200 WAC. City of Everett Official:its;Only ,, �. PERMITS# , ii �� E l og- z24 1, OwnerlAuthorized Agent S t e'kature Date (Revised 9/23/2016)