3012 34TH PL 2019-01-09 - Laserfiche WebLink

R + TRIGAL PERMIT MIT APS LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps everettwa,gov I www.everettwa govl ermits PROJECT ADDRESS: 3012 34th PI BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0:MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 51 @ ,�i,��.,, AI ,, Y `:'a, �.. S 'Ay�il`� R s;<�» y w trItg tib -f sk i � '•. 9 a ria :? 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 28 LAUCD Co - lo r.1 k. COJ Please call our office( 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank ytiu r: h r.s S*".`0'x y,,.'d rx 74 �a -, ,.,_,a. � _...,.. � �'. ' ,� a�.v� �. ti2��'�u4Pa' OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 crTv 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 108 cry Puyallup STATE WA zip 98371 CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: bgentele©gwweusa.com CONTRACTOR LIC.#{REQUIRED): GARNEEW864K.B loin.OF EVERETT BUSINESS LIC.#(REQUIRED) 052909 PRIMARY CONTACT: El OWNER 121 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 .. Paul Vantol CONTACT EMAIL: pvantol@,gweusa.com AGREEMENT:t hereby certify that l have mad and earante ed this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein anat. 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 construction 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 RCWand 296,200 WAC. City of Everett Official Use Only f PERMIT# ' g / . 8/30/1 7 E Go% -- .iNneriAiithirized Agent Sign.ture Date (Revised 9/23)2016)