3436 31ST DR 2019-04-23 - Laserfiche WebLink

ELECTRICAL PERMIT APPL CATION • CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov 1 wvimt.everettwa.goviperrnits :;',S-7431.%rAVI-50::;2:174047e1RMMVVe:Ati •41.:tr 010'0140' ;4404.4,,,,• • • !,%vkvr, ?1! PROJECT ADDRESS: 3436 31st Dr BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: • CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES(if low voltage); FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 200amp Temp Pole Bldg 14.1 Please call our officer 253-872-6051 (ask for Alicia please)for payment when permit is ready Thank you OWNER NAME: Polygon Homes TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Suite 200 ciTy Bellevue sTATa WA zip 98005 OWNER PHONE: 425-586-7700 ,OWNER EMAIL: CONTRACTOR NAME: Garner Electric Washington LLC CONTRACTOR ADDRESS: smer 402 Valley Ave NW Suite 106 ciTy Puyallup STATE WA zip 98371 CONTRACTOR PHONE: 253-872-6051 CONTRACTOR EMAIL; bgentele@gweusa.COM CONTRACTOR.LIC.#(REOUIRED GARNEEW864KB CITY OF EVERETT BUSINESS uo.,kaEouIRED):052909 .„, ..„, ..,„ ...„. „, PRIMARY CONTACT: CI OWNER r21 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-6051 Paul Vantol CONTACT EMAIL:pVarlt0agWOUSB.Corn AGREEMENT:I hereby certify Matt have read and examined this application and know the same to be true and•correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not The granting of a permit does not presume to give atithority to•vita/0e or cancel the provisions of any other state or local law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made anti comply with the State Contractors Law 15.37 RCW and 295.200 WAC City of Everett Official.Use Only PERMIT* 2/8/2018 E02 -0S ) Owner/Authorized Agent Signature Date (Revised 9/23/2016)