|
3ez
<br /> 1-. ELECTRICAL PERMIT A ) UCATON
<br /> ••
<br /> •
<br /> •
<br /> /4:1#Y r _ CITY OF EVERETT PERMIT SERVICES
<br /> � 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits
<br /> •
<br /> 4•s a;:)•..•a s•. :,:. ;;t:^'y' °i s:'••:i:9•'t.0•v.. ,py .,e.•n.. _ .,.•r• v� ..;• r
<br /> • .e .i•. :+• ��!+'�{+ /9��+ c 7y.:^ 'i •s'•• .:h'•.r,:,<•. �{�^v„y.:tr.::,r.. •r"rf
<br /> tY:*-..v=.vr,.,,iv.i.._a.•..uii .. .... ..�•'..... .. .r.�!:W���6i�i'•i71�.n»�{-�yu�i.r.•,:.n,�f��0_yY •�•
<br /> 7aH.•a ..,. >.h•t!%n=.�J.J:'�f,,=•h®.:�...a•fF:,so:.rt:•�%5:.. .. ..... ..s....._s._.v...•n. .. . ='.:j:— .. .:•h•»:.".•:3,
<br /> PROJECT ADDRESS: - 0- •
<br /> BUILDING AREA(If residential,new construction,remodel,o ddition) SF
<br /> BUILDING TYPE: El SFR-DETACHED El SFR ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: NI COMMERCIAL
<br /> USE ``��OFBUiLDING: G EVE .
<br /> �' '•fV(l:i�•r:'SvT 16•x.«. .• ..� •19C��n•. �(, ,J•V4.i n i• i
<br /> tir"�s�r .��_. EE(,LL�Q�jp�* `��Ah��:�"�'�/yY_�oi��•�ry.1���•oi�iv�AT�oj'm�j .�..':..r.�....,Y,,v. ra�..�.�n:,e,t..�) ��� {
<br /> .`•a�V.'�.•:: %vrt...a.S•C = .. u.•-.y.i.....♦ ,.:3�;,';`/ .w 4.+.,.:AYs [ a+a�r.:�Y•r a••CY.r`Y`s.0^.r M1;•f7 6..: L•1,.>, .. .'- j• {;•3.•a •.,i''•:i:•. •l;.r`f;, l.�_�.
<br /> �... •,.• ..: i•v... !vt•.•n.•x wu.,a,. �••_ ::i::V.i4•,i�}1+...:an.S:r1.�Y:,..,,q.G'•l'':•.x.::>t iC:;C:t �
<br /> CONTRACT PRICE OF WORK:$ B S 0O
<br /> NUMBER OF DEVICES(if low voltage):•
<br /> FIRE ALARM? El YES 14 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: 6/,/) is)
<br /> ei( #•• ?„47,2.!4o4 /a2i9 .
<br /> •
<br /> .•i fit ., :1'..•. > .�.•�.• s•>.�• iMV R„ANR�� �,�VN -F. 5 .. •. _ .. _ •-'r'• »:
<br /> y.
<br /> OWNER NAME: TENANT NAME(If Commercial): I(�p
<br /> OWNER MAILING ADDRESS: a-teeer Pa ea( 5707 -
<br /> ern ..5&71177.-E STATE 1�/�9• 2 I I qg/2iL 22O7
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: -.... a 1..• 5rje ULA T/0/0
<br /> CONTRACTOR ADDRESS: sniP-Er PO $Ox 44'
<br /> O�I7]Ym��IG7t'7 &TATEIAA t ZIP g324/ t
<br /> CONTRACTOR PHONE:4266'-214-6144 CONTRACTOR EMAIL: k/be,. euro
<br /> CONTRACTOR LIC.#(REQUIRED): 6EA18.g aiOZ CITY OF EVERETT ElUSINESS LIC.(REQUIRED):o4
<br /> •+a.....�e.e.wn••--• .=. .r».,.QTS.....L...w.�....w+�a....w..w.exysr•.. •reev.».-..+%�{. i.. j .Tr.7..........1...n+w,w. ,.h.,w.....'........ravwavi.o.'. i
<br /> PRIMARY CONTACT: El OWNER El CONTRACTOR El OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 206-736-4)54-ea
<br /> . De 415 ceoW CONTACT EMAIL: DENA'I ra LKOI.iJ kIEt'Vi . d..01
<br /> AGREEMENT:T hereby certify that t have road and examined this application end know the same to be true and correct All provisions of!awe and ordinances govemtng this
<br /> type of work will be completed whetherspacified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any other slate or
<br /> local law regulating construction or the performance of construction, That!em 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 /> FEE
<br /> 11/247 t°
<br /> !
<br /> E
<br /> • i
<br /> PERMIT#
<br /> l �XJ� C)t`
<br /> Owner Au or zed Agen Signature • Date (Revised 10/12/2015)
<br />
|