|
425-259-2794 O.��I�9 p.m. 01-30-2018 2/2
<br /> III
<br /> ELECTRICAL PERMIT APPLICATIQN
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EV�RETf,WA 98201
<br /> (P)425-257-8810 ( FAX 425-257-8857 � (E)everetteps@everettwa.gov j www.evefetfwa.gov/permits
<br /> _... �,,::-_:.:���:r..::�...-
<br /> .._...:_ ., ....:..�..�;:.T�¢a—ys:i'f..,�._..�.»...«.,.,. �
<br /> :S�'•__. :.:.•i•,-�:!:-:xr... �an.:� ........,............:.�.'i• s�.......,,nr�:.,�ua,�ae � ' '
<br /> ........... .ss... F..<x1=,,. >hs sFa'ti,. l.i�� � "'.�nr:�.:.::...�...-. ..M.,...:,...
<br /> ,.::{.�.xssvx:..x.n...ak:..._..b.ttx . �s:...t_�,�...=x:za�:i^aa ':r + "' a •�'s' ..:....z.�:.c-.;,.:=", .. rEiid:�..:.cu:"nii�rm�i::i=;e:_C�i,y:..' _ _
<br /> .s S...,..:.<._.�.-.:k..e..-.........�:z�x.v i d.....4.`x1c....ra...,.,..i. �' � �....,�...�::.:� _
<br /> —'., •"'.,..c.,...r..__... . ..... .:.....z.�..rc,..:s.....e:...-.sc;;:: . _ ,.���r . � :• ,. . �,;:;„� c:-� _ ..:;�..,...-,i. _...... . 'eu.:r::.�u<
<br /> .�_.a...x.i.:�.Fs....,.........a7.a,..a.,.�......a...--....ti... .-u.r..m.is::"........, ... .e.. z.. .. i: . •.zx;:��:ax�wp;wrv�.::..,...»,.; ; _ v:£:;�,^::s�?2t>':r�:i�E :.:.t�e:..P
<br /> ........_..a.._r..., aC. .,......r ��.=:c..._.;....» ...,..,.;s::c=:�.�•rv>—:^Sw'�,. .i'i. » IR ...�:5 ; t�. ...sx:::n.,.:._-.. -.31.iii:l�iiF`i�:iii�.'•::s3:: .,.:z,,;,
<br /> __...,_�..,4 _.f.sr.n:....assxxc_«__t.»,.:?i."'_'eecenx_�t-�-<h.....r:sa,--�-•-,�•�A a�� . . �. ��e'.••• 3� t:ctarxi�;'�c��v�::^.s............:.........«...,.....•r::::x
<br /> . ._.» ..., ��.:rn.ams_ms.....,.s, i.•n..t;:.... «.,^x^.�s.�r a� � 3s`r;;:�E:.' . �:.".:
<br /> . .............«.. <.=•�-
<br /> s,v::��—r.'t:
<br /> �.._._. . .. ;:..,:.'.. �i ...a._..�._...�a�:i..�.,:�,...;...-i'•�+--....:...._.t.L.:::.L:..<•e;:...:�r.;.
<br /> ._ _ .... .,..:,:::ra...._ .Ft;•,..-».s......._--.....,.;�..;�.>.-.;,:::�'-."_.. . .
<br /> PROJECT ADDRESS: 1205 CRAFTSMAN WAY H-36
<br /> BUILDING AREA(if residentiaE,new constructlon,remodel,or additfon) SF
<br /> BUILDING TYPE: L�SFR-DETACHEO ❑5FR-AITACHE� ❑pUPLEX �MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL
<br /> USE OF BUILDING: ROSVAL BOAT HOUSE H-36
<br /> ii�c5.:;.�.`ur.r«L:w,n,.:...r.....�...��,.. ..;�s . - ' _
<br /> ::']'.�:':'::�d:::}:.-:�Y,<::xiY•.:vi'�il�.j]":.:3P,ti........^....�...-........�c^... ' :,.r. ......_...... _ �
<br /> ..w.-.«._x� :�e.. .�.�..�........�....;.�...,�t4...«.................
<br /> ..t.aH_...a_.0;.•fl::�t3.:_•r_a=n�3r x!a..ii ^x:=,r�'"r:zS�.E:-:�'' ��.e . .. " . :.... ; �..,r.. .._.�..;<." -;.y,i•,;:;,;,%'.;�';¢�, -
<br /> ..a>v.,..r._.�a�, c`i 3 ss.: s..x.e. s , . .. .�•::� }� �y, .: ..... ...>...:. :.:..........
<br /> ..t......Y. ...�.. -.�.�..„.5........ ...y�._i. �..: s v 7 . 1 � . . . Sb_..:�Y..�...... '.�v:.lf`...^.:Yt.::'Y:iT.1l�..:'":5':::::::�n•:!.•.
<br /> �.:e. r �s.. I:' st. .:=s it ,7xx xe.._:.....x.3:g� :.�u�:�i`•. .;.L_ct•;, _,nc.-^::s.iiF:.3iyi
<br /> - -s.`i s..r�,Si:so?:::�as�:cz>e�},.f�u r�!rr x ��?.i,`".'.ei �'.i�.:Y Y ` Y' �s:#..rs ar,:l:�:: '.:ice::o-,.a.r.:i:i9iii'3iuEs.s._..�::Si'rs��i:ii::.::�:r:
<br /> :,..�a:�z �.. .. ...._..r..,_<___,_�_.�.��,.,...n�:�:����:_r._,. ..�:: ��, .r_ �.....�. ::-�.A= ��� NF. _�t� :..>.:,.._..::�;_>:� . ....
<br /> .n .�.. .._ , ..,.a.�.s_ ...,::_:�� :������.. _.,�_:::;:�:;:._.::,-�=:�<<-_,<<:::,;,:�:�:<::_.
<br /> m�,�,�:,,a>,.�::�l�x,:s.._,,.., r •� �K:- �,:...,. . ._ . 'r.rs:
<br /> � +:..c.._..,�..ne,�.�r..:s;s:.:�:ssS:tm:nxcrsnadifcpite§F3�iFi?r.:*.r.,...:..::ks..:::..:::_�:.ti-d':::e;`-i::n:
<br /> CONTRACT PRICE OF WORK: 500:
<br /> AIUMBER OF DEVICES lf lowv fta e : N
<br /> FIRE ALARM? ❑YES �f O
<br /> A5SOGIATED BUlLD1NG PERMIT# if a licable: NA
<br /> DESCRIPTION o�WORK: INSTALL NEW POWER COR�8�CAP �OR BOAT HOUSE H-36
<br /> ,<::;- -�::�:r:�:�t�::�;.s�,: -.�,;:- �a s�:�.:..:::...:::<�- .�.,�_
<br /> ::� ::.....:........
<br /> ..�:,_ �... ..__.,.:...:.
<br /> .....:............. ..:.t..�.._.,.:...,,:::.... �.......... ..,. -
<br /> .,....,.,. ....._...�..
<br /> ..... ........... ..M.� _.:�:::•:::t,..._ .........._._.r�....5+,s,-:_,....J�,_;��:�:.,... . .� - - r'
<br /> ..F...........�t;..._s...�_..... _».. . nx ._�_. _........ IS....al...�:..-.�. . .y:z�u��.u.is a:rr. ..w�,�... ='�Z;:.�`_Su:t:'^..:.;..;::^;�a :'i:_A' ?,vi��'," -
<br /> ........�.�r..�...�•Y.i-�:.[:«
<br /> ...--. . ts�:.t.,.x..s..........R...v..�i....5.I...v. :v....:.. .....:.�....:.S:F..._'....,.•x:t�. . .A......_. . . . ._ . : . , -
<br /> .>ti...�:..._..:. .. . ...... Si........i..,. �[ _ .:
<br /> .. ._.. . _ la�.......-..«t.. { . . . ."v^e......... . . .� `�...�' ■ . . ^..._:t.��.;..�..s,...�.s....._�'�'.•,�.'�+.�:�:::Y?�y'r.'.. ✓tf.:t�3<.^.� .^:5:�"�'�;:::::':::r:=:::�I:c:.i".'�.::�"
<br /> ..._...... . . ..-..t� L..__....... 5.. :F;a..,...2..-.........«...S.nt..N...;«'�. . . . . .. . . . �. ............ :............sf....... .sL":=:�::: _ -_
<br /> .....s.s.r. �i.5 S.-i..�: : .. .�+__i..r....z..,..s.x... .._-..�..�,.... ..J......A 3 ;.
<br /> .. .: x .... S .�t. i_t.. ..�� .: . . .: .. ., t ..........:..:.^.:.:(�....Y=:t::i':�!:t�`:a:tS:C::"'Y.:: �t.t'-'.`iti=Ya�:::���:��5:::..:;:i;: iy�t�:::::
<br /> r.....o......�d...iY..k:,......:,.mrn,n s.::h5-a�.t.<.»...3s.�=-I v...._�s:......x....a. .r... ,.�...T•.�it,R, �. . . . . , u_ ..t.:.::£:..�.fs,:...:.;... ,r�.::: =::1... ..:i.,E ii:ri2a,;�..::.
<br /> .. ..< s..iS.fb.......�.L......�.....�.53...Fe�.i, i.•',..dY,:i.>a��.U�d�.._.w....Gne. ����. �.t..... _ ___
<br /> y..`I� :c��'�.'.�'+'L�S{:: ::iC�:-s�y4.�_ _ -r:.�;:a[,Sla.�'�?j . ..,-..,.,..� '.:t:::
<br /> • ::,,,e.:.:,Ax. ;....;.. .. �....�..._t ,_..:. .�.' '
<br /> � .....�..,.�..t:;
<br /> -_. ...:.. ...:.... .,j:c�'r3,•*'t:tl•:":--'s':�-�=ifl'-M�='i __
<br /> .. ..., w,��.-...:�..__................ .. :.....F.. ..�,._..
<br /> ... :_..::s.�:;-::r:�:�`i:
<br /> 4WNER NAfUIE: PQE T'ENANT NAME(!f Commercial): PETER ROSVAL
<br /> OWNER MAIUNG ADDRESS; s�teer
<br /> CfiY STA7E ZiP
<br /> OWNER PH�NE: �25-823-5208 TENANT OWNER EMAtL:
<br /> _... ... . . ,
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: y-���; 2915 CFl@StilUt$t
<br /> c�N Everett srAT� WA Zr� 98201
<br /> CONTRACtORPHONE: 425'258''l$82 CONTRACTOREMAIL: reception@seahurstcom
<br /> CONTRACTOR UC.#�REQUIRED): SEAHUE1099QN cmr oF eveR�'r'r sustNess uc.#(REQUIRED: �I$T63
<br /> .... ..._.. . ... ..
<br /> PRIMARY CONTACT: ❑OWNER �CaNTRACTOR ❑OTF4ER(Please 5pecify)
<br /> CONTACT NAME: Kim Sm€th CONTACT Pl10NE: 425-258-1$82
<br /> CONTACT EMAIL: �gC0�7tIOtl�SBBIIU[St.001'fi
<br /> AGR�EMENT:i hareby ceNify fhat I have read and exeminad this applicatlon and know tha same to be true and correc4 Ali provlsions ofl�ws and ordinances govemfng fhls type
<br /> of work wfA be compieted whathsrspeci�ed hetain orrtot. The granting of a permi!does not presume fo give auihodty to vlolafe ar cancel the pmvisions af any ofherstafe or
<br /> laca!faw regufating constructian or the perfonnance of consirucfian. That I am authnrized by the owner of thrs property to perfartrt lhe wvrk for which application is made and!
<br /> comply with fhe Slate Contractors Law 98.27 RCW and 296.20a WAC.
<br /> Cfly of Evereft O�cial Use Only
<br /> � PERMIT#
<br /> �'�3�� E 1�( - l
<br /> O ner/Authorize Ag Slgnature Date (Revfsad 9/23/2016J
<br />
|