4420 31ST AVE SE 2019-04-18 - Laserfiche WebLink

!ECTRICAL PERMIT APIPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps(c ever ttw . ov I www.everett r gov/perm fs ' 04 , - N!!...:.,--=-1,,i0,"'. am + , g N t c�� a .\ ,. af .:& 7g 1 s..., � .3,,vr: r �tN a PROJECT ADDRESS: 4420 31St Ave SE BUILDING AREA(if residential,new construction,remodel,or addition) 1- BUILDING TYPE: IZI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 3. ! gggggg s;y , CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES(if low voltage): FIRE ALARM? CI YES CI NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: - 100 amp temp Lot 256 Please call our office 0 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you s * ;',"1&.44.4 ',- ,' ,„,..7-1' �" � I ' �. k 4. vim, ,'� S= OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11 624 SE 5th St Suite 200 crry Bellevue STATE WA zw, 98005 OWNER PHONE: 425-586-7700 OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 erry Puyallup STATE WA zip 98371 CONTRACTOR PHONE: 253.872-5051 CONTRACTOR EMAIL: gentele 'a gweusa.Com CONTRACTOR LIC. (R QtUI tEO): GARNEEVV864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):052909 PRIMARY CONTACT: 0 OWNER f CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul Vantol CONTACT EMAIL:pvantol ,gweusa.corn AGREEMENT:I hereby certify that I_have read end examined this application and know the same to be true and correct. Ali provisions of laws and ordinances governing this type of work will he 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 local law regulating construction or the performance of construction. That l 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 ROW and 296.200 iWAC. City of Everett Official Use Only 4 z,r' / i PERMIT* s � � 9/5/17 - \ owl —Owr ecfAuthorIzed Agent$ s urs Date (Revised 9/23/201 6)