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I-L.ECTRICAL PERMIT APRICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1205 Craftsman Way,Everett,WA 98201 Dock 1-7 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: House Boat Dock <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 2,000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ENO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Refeed Existing 60amp Service and bring to code. <br /> CONTACT INFORMATION <br /> OWNER NAME: Rick Dalman TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 809 Vernon Road <br /> CITY Lake Stevens, STATE WA 7IP 98258 <br /> OWNER PHONE: 425-359-8063 OWNER EMAIL: <br /> CONTRACTOR NAME: Service Electric Co., Inc. <br /> CONTRACTOR ADDRESS: STREET P.O. Box 1489 <br /> CITY Snohomish STATE WA ZIP 98291. <br /> CONTRACTOR PHONE: 360-568-6966 Ext #201 CONTRACTOR EMAIL: sharon ci secoinc.com <br /> CONTRACTOR LIC.#(REQUIRED): SERVIEC564RLJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):029064 <br /> PRIMARY CONTACT: ❑OWNER [3CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Sharon Card CONTACT PHONE: 360-568-6966 Ext #201 <br /> CONTACT EMAIL: sharon a secoinc.com <br /> AGREEMENT.T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type 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 regulating construction or the performance of construction. That I am 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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> Please call for Credit Card Payment Information t /\.2, <br /> PERMIT# <br /> C 12-08-15 E 2 r I <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />