|
425-259-2794 51:55 p.m. 10-02-2017 212
<br /> ELECTRICAL. PERMIT APPLICATION
<br /> C1TY OF EVERETT PERMiT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8610 � FAX 425-257-8857 � (E)everefteps@everetiwa.gov� www.everettwa.gov/permits
<br /> ::::a......_�.........:::::.__......:�::::..::::::::�,...,..:.__w...__...,..__., ....
<br /> _:_...:..:.....::..x.:s::.....�::......... ......__,..�.......,............,_........,,.,..,::::..::.:<,:. ... < �<.,...:�:....,:--,.,..,..,...:......:.::.::::,.:
<br /> ....,... , � . ....�._....�..............�..._............_...,...,..:.>,:�:.:;,:.... .._.... :.:,.:.,:.�.....:.:........�..,...
<br /> .... ..,.,.....,.......................{.. t4k.,...,.. . . . . ..:... ... . .. y .n . .e,...;�:.��':::i;:::_;:x:::_:�5',i:;��,.,:_..,,:...q=:,:;:.:......,w._.__........_....._._.,.,.,.;..�.............,........:o-._....
<br /> . .. ..Y.i................::.....��:.. .........,:........,......-..f.._f....-_„:.........:.x;i.....�.....,..:;: ... . . ... h...... � -�f::c�.�::.:..
<br /> _:"s �...,..> _ ..._.... ...............: , . . .: .��.-...f.:...:..�..Es....:::xar:c:..x�x:.•a:::...�:a•
<br /> . .4...................,,..... ..-.....E..xr... . ...,i-...._.......-�.r_�..s..._........a::r..:,,:.,....� . _,.. .... .. . ... . . _
<br /> . �` ` ... . .��_..._:�,.,._,..:x:-::�.;.;.i...,,,.,-..:,.,•,.._,..�...�;SiF:.:.e:^�::�:»Fi:sii�_i5's'-:::�:'::?::"��'e:ic:':ii:=�:5��
<br /> :::...................�...,:;i=z:x.�,,...._.c::wisati:a:;::cG;-`:::L:::::::c:::-.:�a................-.........._..... , . ..: : � :::
<br /> _..�...__..__...,.._........ .....:......:......_ .---_..._..._.......,_...,�---�...._...���1 . . ..E._fNF:�Jr .: ,�w� .:.�:::��::.:�_::�... _ -
<br /> ,
<br /> �1
<br /> --� ..,:..,.�:._::.,..,_: :.._:.--���-
<br /> _.¢...---__._i...�,._.,.,--.:-..,,...w�.._:.:.�..r...K�.___._��........._..r..,=,.......,._.--.._.__._._..__ �� T R��'�'.�!�.N�.., -
<br /> ..., e.....,. . ...._._S,._,_."'.....-__..__......._..._......._�:.:=�r.sPr�.�� ..............._»,........_._.:�'• '_.. "" ' '" '-:;ss[: :a:S::::::r::�v- _
<br /> . .....,..�S:tc-._."'.....'_'.............. .� ..w..............»...�.y.:;::�.. .._.::::�:<±�:.::
<br /> . .� .:sn.nx.:.:�:...:,,,;-.,.,, .z. .-u L::�.:.-c::.::a:-.r-eaea=�:".... . .
<br /> a:r...:x'e.>....:_........__..._.........-_...:�::_::z:t::i�u�.-xc.•._.__-r--��_:�:c•r�::'
<br /> p�o�Ecr A���z�ss: 2105 CRAFTSMAN WAY; BOATHOUSE H-11
<br /> BUILDING AREA(If resldential,new construction,remodet,or add[tion) SF
<br /> BUIL�[NG TYPE: ❑SFR-DEl'ACHED ❑SFR-ATTACH�D 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �COMMERCIAL
<br /> USE OF BUILDING: MARINA BOATHOUSE
<br /> ....�;,:�:>;.Y,��:�-:��.>:.:.:.::.....
<br /> ....:.... ..a........�.........lF::::�:::r:^:5::�1::n:.x.:.aE f::G.x':s[:>.u.�.i,....�................_...........�.........., z<ties
<br /> . .i.i .....v...�.u......a.s.�..r.....--,...„.....F.......,..P..............„. .. . js .. ��.;;...;....,.,...;:..i: <:<,, :.:,:..,.,,;. ,
<br /> ....... 5 f F �s t,f v�..i �... 5.... . / ....�.........s�.....�,.�................................� ,
<br /> .�t.......t.. .at...........x. . . ..t ....-..�;..s...A..,....t.)...i%....... {. . ' < : � Y�jy�y � .a. ; .�. . . . . ;. � . . . .::r^^,::{�t':.'.�5:��::::l:.:el�.�a}:i:::::i::i::�::e'Y4.:1:i3:::`::�:'.1=;::Y.:�s:'r:.s::�:�"i:ziii::=xi:a�:
<br /> . .••a........>..Fe•..ss..,...,»....i..P.,..u.......sm..Fa.....,,x....:...._ehe:{e:?c:;:s:s�� .: �.•e .�( :. �.xr.• . . .: .. .. .. . Q�r. ..I... a.}.
<br /> ,u.........x.S .............................:.......,..� :...u.u.�..,ur.c�.:::e:i'::.....,.a::n:•::c:*:�e.� e..t.
<br /> ..>:.:c:a•e::••...':'.......-�.....s.,,,. ..,E..............i.xs_...ni..,:....=;..s.�� . . � a. {�. .. . 2:. ` ...l..i...:,...i. �tst:ii�3'r'i?tticiF=2;:::.d:iti_"::T.:r
<br /> :..:.__.es...r-.-s_.....l. <....,.. s ..1�i.{.. -_ _•.-.r.�:s...:. _��'�•S�r. ��,MT:�r�..�:.:�. . ..:����R.wl�f�� i�� '-�'x:E_'_.1-,.s ::s:::n::.°�,:::::::r.::Mii...i,........,..
<br /> �.4..�..'�..<...�'3 i.r.�.'""S.i..�+s4nxU._:mss>..�s.0 v....a..x.;m..e.^.u..�: tt:.:r.Z. '7�' �..�'. ....�.........�'ini:s �..F....,.,i. Y.4.l:.:ya:.:FeY
<br /> .
<br /> ...... ......_..sn....a:...sa�a_.x _ttrs...e._.......... f�..r.��..-r.s:::<:::z>:ic:.a:c.ss::.�.�-...._,..-.-.....x......x.::r.::<:¢:<-.�i2i�ii?:x..s-..,._t..:x::c�_•4'2'."ri:i??%Eli�3_e�zi::ei�t��Er........
<br /> CONTRACT PRICE OF WORK: $ 500.00
<br /> NUMBER OF DEVtCES if low volta e : NA
<br /> FIRE ALARM? ❑YES �NO
<br /> ASSOCIATED BUtLDING PERMIT# if a (icable: NA
<br /> DESCRIPTION OF WORK: INSTALL NEW POWER CORD AND CAP FOR BOATHOUSE H-41
<br /> .:;_�,.,,:::�:_<.,�.,:_...�....._.....::::,<<::;r-:., _
<br /> ......,.. .,....... .:..:>�_„<.�..:.<.:_ ,:�::
<br /> �-,_ . ,.,.... .., - _:_::�::;::_ �:...::,w:.._... .
<br /> .:�::�.::: ...:... ..._,....,.,:_. , ,. ..�..........,..... :.::,...,..._.......:.........,:..._._....,
<br /> ...._� . . . . .. .�,�,... ..............._.,,. .... . ....t....:_,n,�,.;,,......,..
<br /> _. .:....... .......
<br /> .............�...,r..._.....�«....�..� .......� ...._.z.. .... .... ........_.. ,...... ...-.:<-, <;,,;� ,.,:;..
<br /> ......... ..... , ,...,;.;,.�u:, ,�._
<br /> . . ,. , ......., ......................
<br /> ...................
<br /> . .�. .....................�•.......,..:.r..:..:::�.,..,�.......,.,..,_,....,.... ..,.,,....:...........,...... . „ . _ . ...,
<br /> �, ................
<br /> :...,,� .....:�::.,::::,::
<br /> .......__...,.,a;...,
<br /> �.............�...,. ,., ......��... _,... ,.:.,,
<br /> ,.:<::::::::, s_.:, ::......._........... .....,........�._..,._....�....._.....,,,,..._,..
<br /> ... ,. ....... . .. ,... .........._:..__............. ._.....,...._......,........._...:... , .... ,�:�
<br /> ....................:.....:<:�.......,_:-:- .�;�::
<br /> ... .�.> .,r...:. . 4. .. ,.. .�,4.. . .. - . ...... ......�.;
<br /> .. .. ...i.....>.zr.�.....................it....�...r�.i�...............-........t.......s. ...._........ .-. ... . . �. ... . . .. .. . .:.. ...Z...:_zt•:.•�ti::::::,::::::.,� _
<br /> ....,.�..�..............r.............,..:ti
<br /> .......r-...., i e. � .c .. � � _ , f.....:..............1... . ............:s...,:..::.....e......:::'.u:::":�.�s:�+'
<br /> ._......,i.�...........i.i.v.>.....�..............:._......._.... . ,.....:::,....,.. �. ......._.....5.,:_r,:::;:.c,:,:;_::.::::::i::�;:;;�_::.�i.:l'::
<br /> .. . . . .....:.::..........�..r...........,.,_......,_ ,.� N �C. .
<br /> .,.s.�....:.......:_.........._.._...,._......,...._.................. _,�....,.........,_.....,...._..,,__-:....._�. �" .._..... ,..���D��AT.IQ .M,..,�,:,.,::,��.::,:::::::�:,..:�.::.:..
<br /> .o.F,i. .... •_::::;::i'�c^=:i:s_: ,
<br /> . ,................:....�-...<...,.,.. �,....__....,..��__:....,.�..... ._,...,,,.:.,,,....�.,,n,,.,:.,.„�;3.,�,:::,:.,.:,._.•x:���-�:�::...:s.�.y..:<.:....�:..,..,. ;a����:;::::�':;;,t:-
<br /> _. r_.;..�...::.:.....:
<br /> _..�.,.. _. ...._ ....._. _..:__....
<br /> .. .,. _ ......,.:..........5.,...<...,.s::y:...x:t;.-r::>x�:s::c:.,...,..........i.,.....:::''r.-'aaa::::cc�::=-.:::.:�
<br /> OWNER NAME: RA�PH BOIR�M TENANT NAME(If Commercia!):
<br /> QWNER MAIUNC ADDRESS: STREET 14709 29TH CT SE
<br /> ��N MILL CREEK srnrE WA z�� 98012
<br /> OWNER PHONE: 206-794-3115 OWNER 6MAIL: rboirum@hwageo.com
<br /> EON'FRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR A�DRESS: ssReer 2915 Chestnut St
<br /> �,TM Everett STATE wA► Zip 9$201
<br /> COI�ITRACTOR PHt}NE: 425-258-1882 CONTRACTOR EMAI�: reception@seahurst.00�17
<br /> CONTRACTUR L1C,#(REQUIRED): 3EAHUE1099QN c�Ttr oF�veR�r BusiNEss uc.#(REQUIREO): 9 8763
<br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR D OTHER(Please Speclfy)
<br /> CONTACT NAME: KIJri Sirilth CONTACT PHONE: 425-25$-18$2
<br /> PM - JEFF HERRMANN 425-309-2554 CONTACT EMA[L: CeCe�t�O[t(�Se8hU1'S�.com
<br /> AGREEA,lENT.•1 hereby csrtify Ihat!have read and eremineat thls appflcafron and knaw ihe same to be frue and carreck Aq provisions oflaws and ordinances goveming this type
<br /> ni work will ba completad whather specilled herein ar not. The grsnling af a permlt daes not presume lo give authority to violate or cance/the provisions af any nther sfafe or
<br /> local law ragulating consirucfion or the performanae of construction. That I am authorized by lhe owner nfthis prnpe�ty to parform ihe work for which appticatian is meda and I
<br /> camply with fhe Sfate Gantrectors Law 18.27 RCW end 296.200 bVAC.
<br /> Cfty of Everett Otflciat Uss Oniy
<br /> . PERiv11T#
<br /> �� `� -l� E1�1 b� �
<br /> �
<br /> O nar utharlied geht ignature Date (RevTsed 8/23/2016)
<br />
|