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SERVICE ELECTRIC Fax:360-568-9283 Oct 8 2015 10:50am P003/003 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES . <br /> 3200 CEDAR STREET, EVERETT; WA 98201 <br /> w <br /> 425-257-8810 - FAX 425-257-8857—ww.everettwa.gov <br /> 1205 Craftsman Way, Dock I, Slip#20 <br /> PROJECT ADDRESS <br /> Greg Stewart 14919 40th Ave NE, Marysville, WA 98271 425-239-7017 <br /> Owner Mail Address City statelZip Phone <br /> i <br /> N/A <br /> Tenant. Mail Address city State/Zip Phone <br /> Service Electric Co., Inc. P.O. Box 1489, Snohomish, WA 98291 360-568-6966#201 <br /> Electrical Contractor Mail Address city State/Zip Phone <br /> SERV I EC564 R U 029064 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Boat House 2 OOQ 00 <br /> Proposed Use of Building Contract Price of Work <br /> sharon@secoinc,com 360-568-6966#201 <br /> Square Footage(if residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done, Modifications to Existing Connections to Power on Dock - Part of the Central Marinas <br /> Port of Everett Project_ <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �j n <br /> I hereby certify that 1 have read and examined this application and know the same to be true and D - lJ <br /> correct All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction, That I am authorized by the owner of this property to perform the E 0 (Q <br /> work.for which application is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296,200 WAC. <br /> 1 o-os-15 <br /> Signature Date <br /> REvtS8D.0ai0612014 <br /> - Pica,$c C'M'11 Cr-ret ii- Cawr-r'l tj-ty�r- <br />