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LLECTRICAL PERMIT APIOCATION <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 0-17 <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 [2(NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Refeed Existing 60amp Service with new shore power and bring to code. <br /> CONTACT INFORMATION <br /> OWNER NAME: Dan Meyer TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11831 Beverly Park Rd Bldg C <br /> aTY Everett, STATE WA ZIP 98204 <br /> OWNER PHONE: 206-947-9947 OWNER EMAIL: <br /> CONTRACTOR NAME: Service Electric Co., Inc. <br /> CONTRACTOR ADDRESS: STREET P.O. Box 1489 <br /> CITY Snohomish sTArE WA ZIP 98291 <br /> CONTRACTOR PHONE: 360-568-6966 Ext #201 CONTRACTOR EMAIL; sharon(yr secoinc.com <br /> CONTRACTOR LIC.#(REQUIRED): SERVIEC564RU CITY OF EVERETT BUSINESS LIC.#(REQUIRED):029064 <br /> PRIMARY CONTACT: ❑OWNER 121CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Sharon Card CONTACT PHONE: 360-568-6966 Ext #201 <br /> CONTACT EMAIL: sharon((f secoin c.com <br /> AGREEMENT.Thereby 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 I <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 <br /> PERMIT# <br /> S��✓Lt� C7� 1-25-16 E �O � <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />