1205 CRAFTSMAN WAY SLIP 10 DOCK H 2021-12-06

ELECTRfCAL PERMlT APPLICATION GITY OF EVERETT PERMIT SERV(CES 3200 CEDAR STREET,EVERETT,WA 98201 {P)425-257-8810 J FAX 425-257-8857 �(E}everetteps@everettwa.gov J www.everettwa_gov/permits PROJECT StTE iNFORMATtON PRaECT anoR�ss: 1205 Craftsman Wa , DoCk H, Sli #H10 BUILDING AREA(if residential,new consVuction,remodel,«�aaa�von? N�A SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: BOat SII ELECTRtCAL APPLICATION INFCIRMATION CONTRACT PRICE OF WORK:$ 700.00 NUMBER OF DEVICPS if!ow volt e: 1 FIRE ALARM? ❑YES 0 NO ASSOCiATfD BUILDING PERMIT# if a licable: DESCRIPTION OF WORK: Instatlation of a shore power outtet to the existing power pedestat�required by the Port of Everett CONTACT INFORMATION OWNER NAME:Ratl(��/WICICIat1CI TENANT NAME If Commercial: OWNER MAILING ADDRESS: sm�r3307 Cedar Street Everett �,� $TA,�WA �,P98201 OWNER PHONE: 425-5OH-$O'rJ3 OWNER EMAIL: edtlCl@@RibatillO.COIII corrrw►cTOR niaMe:W E Electric CONTRACTOR ADDRESS: srneer PO BOX Z4ZT �,,,r Redmond S�q,�WA � 98073 CONTRACTOR PHONE:4ZrJ-�JOS-638Z CONTRACTOR EMAIL: t'lJtll,wyatt@weelectric.com conirRacTOR uc.��REQu�Re�>: 1IVEElEEE9104U CITY OF EVERETT BUSINESS LIC.�!REQUIRED):57075 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Ptease Specify) CONTACT NAME: CONTACT PHONE: [}2�j-rj0$-6$$2 Ruth Wyatt coNTacr er�a�:ruth.wyaftC weelectric.com t4GftEEMElN7:!herebycertify that 7 have read and examirred this application and k�ww the same 3o be true and carrect Alt prorrisivr+s�laws and ordina�es govemir�this type of wak w�71 be c�m�a�ted+vheiher spedf'red hsYein cr not. The grangng of a pcvmit c�es not pr�sume togive autiaority to viodate or carxet the provisBons ofany otherstate or iocal iaw reguia6ng co�trvction or the perlom�ance of consUuction. That l am authr�ized fiy the owner of this property to per/am the work for which apptication is made and 7 canpfy with the State Contractors Law YS 27 RCW and 296.20D WAC. City of Everett Ofllcia!Use Onty PERMIT# � � � 1�4�1- a2� OwneNAuthorized Agen nature Date (Revised 9/23/201fi)