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4305 RIVERFRONT BLVD 2019-03-14
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4305 RIVERFRONT BLVD 2019-03-14
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Last modified
3/14/2019 2:38:52 PM
Creation date
3/14/2019 2:38:48 PM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4305
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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,>WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 (E)everetteps@eyerett*e.gov 1 v w everettwia.govlperr i <br /> E r.� <br /> a ''�" <br /> PROJECT ADDRESS: 4335 Riverfront Blvd <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ltl SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS 0 COMMERCIAL <br /> USE OF BUILDING: <br /> 14,1 <br /> CONTRACT PRICE OF WORK:$ 250 <br /> NUMBER OF DEVICES(if low voltage) <br /> FIRE ALARM? El YES 0 NO;, <br /> ASSOCIATED BUILDING PERMIT#(If applicable): <br /> DESCRIPTION OF WORK: 100 amp temp <br /> lot#148 <br /> Please call our office to 253-872-6051 (ask for A€icia please)for payment when permit is ready Thank you <br /> OWNER NAME.,Polygon Homes TENANT NAME(if Commercial),__ <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th St,Suite 200 <br /> CITY Bellevue STATE WA zip 98005 <br /> OWNER PHONE: 425-586-7700 .. TOWNER EMAIL: _ <br /> CONTRACTOR NAME, Gamer Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> crry Puyallup STAlE WA ZIP 98371 <br /> CONTRACTOR PHONE: 253-872»6051 CONTRACTOR EMAIL: bgentele©gikeusacom <br /> CONTRACTOR LIC #{REQUIRED): GAR.NEEW864KB CITY OP EVERETT BUSINESS LUC;:I t UiRE( :052909 <br /> PRIMARY CONTACT: 0 OWNER OCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6051 <br /> Paul Vanto1 cONTACT EMAIL: vantol <br /> i7gweUsa.com _ <br /> Ac REE tNT:t herebycertify that t have react and examined this application and knowthe same to tae tam and conect. Alf <br /> of work will be completed whether pravorcano cancel the <br /> and of Jlrrances g tverning this type <br /> p speMf'led hemin or not. The granting of a permit does not presume to give authority to Wolate dreanc elthe provisionsofanyother state's:* <br /> local law regulating constructien or the performance of construction. That l aro authorized by the owner Of lb*properly to perform the workfor which application is made and;I <br /> comply with the State Contractors Law 18.27 RCWand 296,200 WAG <br /> City of Everett O€ltcial Use Only <br /> PERMIT* <br /> 7/3/18 E -0( `-F, <br /> Owner/Authorized Agent Sig •ture Date (Revised$123/2016} <br />
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