|
11/14/2017 09:41 3604740126 DONNELSON ELECTRIC INC #3877 P.001 /001
<br /> ECTRICAL PERMIT ALICATION
<br /> Imo' CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits
<br /> a�aN�;k ,e,tic�N:R,^".�1\ey.lo� ;,Z.i R,;,�f�$�,�1\4n�1i ,,�4Ti`�•,,�T1,,x,�,�ro,. ,rw' K,}a�a„ S ax u law,Fa, s c\, "�,,. ,.10 �,v
<br /> ti,: ! ,, .v„�",a, atilyl�„. 1 �,. v; a, vs `m.•a m,, a.�y�e,a•
<br /> 2,a F� „4•'r+.,V,�,,"dacg '��t"•"•1\ '�" '� d, ti,�'"�'�;:1�""�, 'k',, 5,�+:•!, ,u ,`�„ ,+•,.,o:a
<br /> �,•� ,•,, 1 .,, \�,..� \a• �. d^."�"a`,rag1;�;;,;,. b p„nim, :� g>r•,q
<br /> ,,N C} 't.,y "'e`'w' .L.\'gni @a',� 1'1 b,k ;t,,iF: v ,a. 1 5 : i.. k ,N`.e..,q,,h; ,: w,,,,:6,,w :'b;'.s'`y,;. .S "`�q a. ,
<br /> �y,.1`�1.�,,f.,�i��`+11„d\iK�il,a.:w.u.a� a41'1u`1a.au,,.ia�i��\��,, �;�� „g„v. �,4�, .1,," 1, •�' ,t`d\ , .u,.,�, ,h ;A��, , .•b,. .GU, �,�`!�
<br /> ��„W1v..,5�a�,?'�„7�i,.�l'�..,n'�..,��,,',a , ��,,���,,�,.,a,,,,,�,w, ,,��,,,",11p\,\ iwa;��lmeW'��a1�1�,11i\i�r�M���•b�1�ca\k,:,�,s,11i;�:,l1�lw��l:,a„v;;,�,e„w,!Ji1d11�����a,�,c��':;�'� �Saa\\;,s5�!F'ti`,t
<br /> PROJECT ADDRESS; ZyO h�ea er R ez'tj- rr �i�Zfl3
<br /> BUILDING AREA(if residential,new Construction,remodel,or addition) S'7C SF
<br /> BUILDING TYPE: 0 SER-DETACHED 113(-SFR-ATTACHED •D DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING: 4se
<br /> • „��, `a, o\e\SIU; ,\• ••`+•' S•\• ,�w•, �\,\,. ,w,
<br /> " �a a., .N1J Il t ; ab\.,.t.,.�;,�,u48s ,t,, ;1,.,;c€.M.`t:`io�;�\na,,�,,iPo`or a...,;,,,,,�; ,
<br /> - • � �,.v,Nl•:r,, � �;� �. m,i ,. s:H••>,,.,�t•�,'.i•yae: ti,,,.:yah„. ,;:.,:.:�,,:,,.:,.,.K,:.
<br /> a ,,,,:t,�a.,, ••� ,,.�a, ,a, ,a aaca,a,a ,� ,,a,a,
<br /> • .. :....:..::....:,^;. 1•s,.a.w..,„11•A,.m,• ;, , aJ ,,, ,.-�:.,,",.,K�,.,o..,.:;,�.,.a. ,..,•��,,. '�.��`.x ���:. \ ;;.�..,1 �.,.,
<br /> @ \ ,,.....,.,., ` " d' 1 y ol,v �k eJ'o a'ay. ty,�e;�ur;.\:a::..^•.. r ,
<br /> CONTRACT PRICE OF WORK:$ •11QDO, vd
<br /> NUMBER OF DEVICES(if low voltage)_ _
<br /> FIRE ALARM? Q YES aNO . •
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: ati etdC{:'l *ra
<br /> •
<br /> •
<br /> aewa,a,,,a,K„;`M ,,...,�,,,,,?,ai,c.:,l„b,"K,'�,rr,��,of,atm,o:u•,.,,a„xaxaa:axu:arv: ,,,,,�, ,,,,.,y,y..,�„p,.,�,.,,,...,..."...........:... :n*.•.�•n•�•.:�a.0 a, -
<br /> .ulpua. xu� n�.0
<br /> .,mKu. xa:: . •:uo, a ,y, hu', u,a,�ian".e,,,.”
<br /> 1.,3:JHdt;J. K u �' �„'i1.,kuio fo ;:,1, ,:,v.,
<br /> M ,R `,t
<br /> l
<br /> .vas .,1 K,u,a�,�,
<br /> ,1,,.,.\J1'�t�'@s c1':'µ;
<br /> .. .. ., ail
<br /> ,..,u:"'•' ...5.,,....,,...1 �w„a,,.,,o.a...xa„1,\,•, ,.a.,.•.,u•.ai.om a.. um '• ,� �}�-„+� i ,. 1 H.Ka,a,•:,,..;,, ,K,e ,�`:���;.�
<br /> ,a..:,.,,55,.,.1, ... a 11!! ,,: ”!1,�, �?!•���"`r;�,.. ,,.w �...� ,,1,„,,,,K:aw�,a:a..:a,a,ak,.,>,., r„aKa�,u �e,\,,.,.\ t,w.. ,M,�,,,.,,..,:��<
<br /> ,a,.� �ya,i; „ , �, rt�,+. I\a?.o:,u�oi,u�o„u,u,,.ro„•:A,c,mu.,,�.ar.,,�y„a,.,,a;,onK,u,e,:,,.:;q� �
<br /> OWNER NAME: (AC(n m Lind el S TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: sraeer ZYD )ec+tL¢r K
<br /> err C1/.4.rcIT STATE V4. ZIP qt?17.7
<br /> OWNER PHONE; LiZr^3O7'Z/Zei OWNER EMAIL:
<br /> CONTRACTOR NAME: OOflr a($4,1 •
<br /> CONTRACTOR ADDRESS: STREET 139 4/ 01 r4ye
<br /> CITY +rY 1� STATE LIP qB 12 3
<br /> CONTRACTOR PHONE: ' as'-2.31'•X174,) CONTRACTOR EMAIL: 094 •Ado, . -le ,c 4 m,d,'e/:
<br /> CONTRACTOR LIC.#(REQUIRED): DOM 041402 CITY OF EVERETT BUSINESS LIC.#(REQUIRED:•
<br /> PRIMARY CONTACT: 0 OWNER &CONTRACTOR ©OTHER(Please Specify) mow
<br /> CONTACT NAME: CONTACT PHONE: qzS �3S”y'J6') ,
<br /> c°77- Penchi /(er- CONTACT EMAIL:
<br /> AGREEMENT:1 hereby Certify that I have read and examined this application and know the same to be true end correct All provisions of laws and ordinances governing this typo
<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 regulet+hg Construction or the perfo'mance of construction. That lam authorized by the owner of this property to perform the work for which application is made and
<br /> comply with the State Contractors Law 18.27 ROW end 296-200 WAG.
<br /> • 4
<br /> •
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> 105/97 • E tr-4 [ (21
<br /> tier/Authorized Agent Signature Date (Revised 9/23/2016)
<br />
|