3003 34TH PL 2019-01-09 - Laserfiche WebLink

#11PP' ETR AL PERMIT APPLICATION 1 :?..' CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps t everettwagov I w tw,e rem gov/permits w._ a �:� '��.e" ,.Y s� sem.' e ® t : , _, %#` m.'t �'`� iiPS 1°is r .f S PROJECT ADDRESS: 3003 34th P[ BUILDING AREA(if residential,new construction,remodel,or addition) . .. SN= BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#.OF UNITS: 0 COMMERCIAL USE OF BUILDING: a _ ` sir a. s CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 200 amp temp BLDG 27 r°_,, L t)( 1 o l Please call our office @ 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you t , � sf,� � • ,, ' �'• .. ,, � �, . 'w �®ms , z .� �. <E`� a v....,,. «va�„ na...� � ar' =d�,:. k��wru •. ..,,,,4•''44.q°� .. �;� ,< . w, #,.,,2,,, .. ,. OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: st Et 7' 11624 SE 5th St Suite 200 crrr Bellevue sTATE WA zip 98005 OWNER PHONE: 425-586-7700 OWNER EMAIL: 1 . CONTRACTOR NAME: Gamer Electric Washington LLC _CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 crry Puyallup STATE WA zip 98371 CONTRACTOR PHONE: 253-872-8051 CONTRACTOR EMAIL: Dgentelet gweusa. rn CONTRACTOR LIC.#(REQUIR D): GARNEEWS64KB CITY OF EVERETT BUSINESS LIC.#(REQU}RED): 052909 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul VBt1tol CONTACT EMAIL: vantdl gweusa.com A REEMENT'I hereby certify that.have read and examined this application and know the same to behest and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein exact The granting of a 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 fiction. That!am authorized by the ownerofthis property to per form the woe*for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 8/30/17 E kqoSs It 411,114 —��V/ i + =r!•u rized Agent Sig ore Date (Revised 9123/2016)