4311 30TH DR SE 2019-01-30 - Laserfiche WebLink

ELECTRICAL AL PERI IT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 i FAX 425-27- 7 }(E)ereretteps ever t wa.gay I wwweverettwagovipermits k^� w`� _ .. 14,;',,e":!...<. �7:z.'• ��, � _. � �,.. �':„,,q4/,„,,,4,,,.__ N��e °�,�' �,,�`y n�w-1,1,,,,% ,,.,..,1 PROJECT ADDRESS: 4311 30th Dr SE BUILDING AREA(if residential,;new construction,remodel,or additions_ SF BUILDING TYPE: D SIR-DETACHED a SFRRArrACHED DUPLEX 0 MULTI-FAMILY-`#OF UNITS: 0 COMMERCIAL USE OF BUILDING: , e., . , ," . i',: CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES Of low voitagel: FIRE ALARM? D YES Cl NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 100 amp,temp pole Simpson lot 154 Please call our once a:253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you -? :,- gr - 4.0 '0 x '`� y a aaP "4. OWNER NAME:Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS:. smeEr 11624 SE 5th St Suite 200 coy Bellevue srnrE WA zip 98005 OWNER PHONE: 425=586-7700 OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: smsEr 402 Vallee;Ave NW quite,106 c Puyallup STATE WA ZIP 98371 CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: bgentele©gweusa co.m CONTRACTOR LIC,*REQUIRED): DARN EEW964E B CITY OF EVERETT BUSINESS LIC.#(REQUIRED):052909 PRIMARY CONTACT: DOWNER 12I CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:.253-872-6051' Paul Vantol CONTACT EMAIL:puantol©gweusa.com AGREEMENT I hereby certify that have read and examinad this ittcationand know the saute Iii:be true and conen`All provisions of/met and ordinan &govrerning this type of work will be completed whether specified herein or not The grantJng trfa permit does not presume to give authootyto violate or cancel this provisions of any other state or local law regulating construction or the performance of construction, That I am authorkedby.the owner of this property to perform the work or which application is madeand! comply with the State Contractors Law 18,27RCW and 296,200 WAS City of Everett°Metal Use CYO *< < PERMIT# id 707 ,er 3/22/1 8 i - 141 OwnerlAutban ed Agent SignAture Date (Revised 942/2016)