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OP-- tLECTRICAL PERMIT AltiLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everettepsigeverettwagov l www ev rettwa ovipermr its <br /> .�'?k_. ', N ... ,..,w.* 5,� n..�..�' ",.: ;H 4,17;, �.. - •- x'[ _ lei `l r .:. <br /> PROJECT ADDRESS: 4415 31st Ave SE <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED El SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> � `��` ,<��,..t,e. ,, 3 ,�a.�,,.. i�M rii r-. ,3fiM„,.,..,. .. v :� 1,,,,,..,,,,...;.„,, ,.... .. .�. . 3 <br /> 250 ;� � �,�. �. ..sem� 3�,i....._ <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OFDEVICES(if low voltage): ... <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 100 amp temp <br /> Lot 270 <br /> "Co 5 o' 2_ <br /> Pleasecall our office @ 253-872-6051 (ask for Alicia please) for payment when permit is ready Thank you <br /> OWNER NAME: Polygon Homes TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: s, est 11624 SE 5th St Suite 200 <br /> en, Bellevue STATE WA zip 98005 <br /> OWNER PHONE; 425-586-7700 OWNER EMAIL: <br /> CONTRACTOR NAME: Gamer Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> ow Puyallup STATE WA z:w 98371 <br /> CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: hgentele@gweusa.com <br /> CONTRACTOR Lie,#(REQUIRED): GARNEEW864KB ,CITY OF EVERETT BUSINESS LIC.#(R OUIR O): 052909 <br /> 1 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6051 <br /> Paul Vantol CONTACT EMAIL:pvantok gwausa coo <br /> AGREEMENT:I hereby car*that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not, The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this properly to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 ROW and 296.200 WAG. <br /> City of Everett Official Use Only <br /> gg — PERMIT# <br /> fit 1,e C, ill alf <br /> L 1 i <br /> 9/5/1 -Dr=4, ik <br /> Owner/Authorized Agent ;Tare Date (Revised 9123120:16) <br />