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FWCTRICAL PERMIT AP&ICATION <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 1-19 <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: Boat House Dock <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 2,000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑ YES aNO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Refeed Existing 60amp Service and bring to Code <br /> CONTACT INFORMATION <br /> OWNER NAME: Bill Hook TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 815 Stitch Road <br /> CITY Lake Stevens, STAM WA ZIP 98258 <br /> OWNER PHONE: 425-258-9292 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: sharongsecoinc.com <br /> CONTRACTOR LIC.#(REQUIRED): SERVIEC564RU CITY OF EVERETT BUSINESS LIC.#(REQUIRED):029064 <br /> PRIMARY CONTACT: ❑ OWNER LNCONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Sharon Card CONTACT PHONE: 360-568-6966 Ext #201 <br /> CONTACT EMAIL: sharonCsecoinc.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 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE 4 <br /> Please call for Credit Card Payment Information 1 02- <br /> PERMIIT�`J# <br /> -27-16 E � VG d t' n <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />