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ECTRCAL PERMIT AILICATII <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps( ever ttwa.gov 1 .witInAt.everettwagoviperrnits <br /> PROJECT ADDRESS: 3433 31st Dr <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX Et'.l MULTI-FAMILY-*OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK: 250 <br /> NUMBER OF DEVICES(if low v•tage): <br /> FIRE ALARM? 0 YES • NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 200 amp temp t <br /> BLDG 1 e '�rjL Ot49 <br /> Please call 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: STREET 11824 SE 5th St Suite 20.0 <br /> crry Bellevue STATE WA zip 98005 <br /> OWNER PHONE: 425-586-7700 'OWNER EMAIL: <br /> CONTRACTOR NAME: Garner Electric Washington LLC <br /> CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Suite 106 <br /> crrr Puyallup STATE WA zip 98371 <br /> CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL: bgentele a©gweusa.com ( <br /> CONTRACTOR Lie.#(REQUIRED): GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIR 4: 052909 <br /> PRIMARY CONTACT: ®OWNER 0 CONTRACTOR Cl OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-6051 <br /> Paul Vantol CONTACT EMAIL:pvantolkgweusa.com <br /> AGREEMENT:I hereby certify that I have mad and examined this application end Mow 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!am authorized by the owner of this property to perform the work for which application is made end! <br /> comply with the State Contractors Law 18.27 ROW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 1eirm <br /> 4617.,tt8/30117 E ��Z - 223 <br /> Owner/Authorized Agent gnature Date (Revised 9123)2016) <br />