1205 CRAFTSMAN WAY SLIP 19 DOCK H 2021-12-06

ELEGTRfGAl. PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAFt STREET,�VEftETT,V11A 982t31 (P)425-257-88'!0 fi fAX 425-257-8857 �(Ej evere#teps@everettwa.gow� www.everettwa.govlpermits PROJECT SITE INFORMAT[�N PROJECT ADDRESS: �I�LO�J C�'aftSC11af1 Wa , DOCk H, Sti #H 19 BUILDING AREA(if residentiaf,new construction,remodel,or additian) N/A SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-AITACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: BOat SII ELECTRICAL APPLtCAT10N INFORMATION CON'i'RACT PRICE OF WORK:$ 70Q.00 NUMBER OF DEVICES if low volta e: 1 FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if a licable: DESCRIPTION OF WORiC• tnstailation of a shore power outiet to the existing power pedestai,required by the Port of Everett CONTACT INFORMATION OWNER NAME:Don Hopkins TENANT NAME H Comm�cial: OWNERMA!!lNGADDRE&5:252�Eef1naV1@W BIVCI Everett �,� STAiEWA �,P98203 OWNER PHONE: 425-3�J9-72O0 OWNER EMA1L: CONTRACTOR NAME:W E EIeCtCIC CONTRACTOR ADDRESS: srnEerPO BOX Z4Z7 �,,,.Redmond �A,�WA LP 98073 CONTRACTOR PHONE:4Z'r�J-SOH-63HZ CONTRACTOR EMAIL: �Utll.wyatt@weelectric.cflm corrt�w►croR uc.s�ReQu�REo: WEELEEE9104U C1TY OF EYEREiT BUSINESS i.1C,#REQUIRED):57O7�J PRIMARY CONTAC'f: O OWNER 0 CONTRACTOR ❑OTHER(Ptease Specify) CONTACT NAME: CQNTACT PHQNE. c�.Z�J-'rJOS-�SZ Ruth Wyatt coerrac�r E�ra�:ruth.wyatt@weeiectric.com AGREEMENT•1 here4y certily that l have read and examinEd ihis appiicatbn arrd know Nie same to be bue and t�wr'ed. N!prauRsio�u vfla�vs and�nances gove�ning this lype of wak HdGI de campletc�d whethersperaf.ad here»ariaru The granttix�ofa penrdt daies�ot presume togive autixxity to vidate or canas/th�e provis6ons ofany otherstate or locai law regulating cor+sirutXion or the pertamance of construd'an. That I am auttwrized bY U�e owner ol thrs p�rvperty fo perform the work hu which applicabon is made a�d l canply with the State CanVactors Law�8.27 RCW and 296.200 WAC. C'rty of Everett OHicia/Use Only PERMIT# � I�V�� oL.� Owner/Autlwrized A i nature Dffie (Revised 923/2016)