1205 CRAFTSMAN WAY SLIP 31 DOCK H 2021-12-06

E�ECTRICAL PERMIT APPLICATION CITY�F EVERETT PERMIT SERVtCES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E}everetteps@everetfinra.gov� www.everettwa.gov/permits 'PROJECT SITE tN�O�"tMATiON PROJECT ADDRESS: 1 ZOrJ CCaftSI'YlaC) W a , DoCk H, S!i #H31 BUILDING AREA(if residential,new construction,remodel,or addition) N/A SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: BOat SII ELECTRICAL APPLICATfON iNFORMATION CONTRACT PRICE OF WORK:$ 700.00 NUMBER OF DEVICES if low volta e : 1 FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if a licable: DESCRIPTION OF WORK: Installation of a shore power ou#let to the existing power pedestal,required by the Port of Everett CONTACT iNFdRNAATION OWNER NAME:ECI RUbatIRO TENANT NAME(If Commercial: OWNER MAILING ADDRESS: srneer3701 Shore Avenue Everett �,TM STATEWA �,P 98203 OWNER PHONE: 4Z5-32$-O�92 OWNER EMAIL: BCItICI@ p�f UI�atltl0.00111 coNrRacroR NaMe:W E Electric CONTRACTOR ADDRESS: srneErPO BOX Z42T �,TM Redmond STA-�WA vP 98073 CONTRACTOR PHONE:4Z5-5OS-G3HZ CONTRACTOR EMAIL: CUtF1.1Ny1tCC W88I2Ctt'IC.COIII co�rrRacroR uc.��aEQuiRe�>: WEELEEE9104U CITY OF EVERETT BUSINESS LIC.#(REQUIRED):57075 PRIMARY CONTACT: �OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42�j-5�$-6$$Z Ruth Wyatt coN-racr ennai�:ruth.wyatt@weelectric.com AGREEMENT.•1 hereby ceriity that l have read and examined this application and Mrow the same to be true and correct. All provisions of laws artd o�rdinances govemirrg this type of w�rk wiN be campleted whetherspec'�fied herein or net. The granting ofa permit does Rt>t presume to give authority to violate or carrce!the provisevns of any otherstate or local law regulafing construction o�the performar�ce of constrvction. That 1 am authorized by ihe owner of this property to perform the work for which applicaiion is made and! compty wiih the State Contractors Law 18.27 RCW and 296.2lJO WAC. City of Everett Official Use Ony PERMIT# Ei� ��ac�- Owner/Authorized A ignature Date (Revised 9/23/2016)