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

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1205 Craftsman Way, Dock H, Slip#H12 BUILDING AREA(if residential,new construction,remodel,or addition) N/A SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Boat Slip ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 700.00 NUMBER OF DEVICES(if low voltage): 1 FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installation of a shore power outlet to the existing power pedestal,required by the Port of Everett CONTACT INFORMATION OWNER NAMEBOb Birdseye TENANT NAME gE mmercial): OWNER MAILING ADDRESS: STREET 2Q intp i I /�� CITY, ljl to `t STATE•�• ` 8p 2 !D OWNER PHONE: 425-501-3317 OWNER EMAIL: bird2bk@yahoo.com CONTRACTOR NAME:W E Electric CONTRACTOR ADDRESS: STREET PO Box 2427 Redmond STATE WA ZIP 98073 CONTRACTOR PHONE:425-508-6382 CONTRACTOR EMAIL: ruth.wyatt@Weelectric.com CONTRACTOR LIC.#(REQUIRED): WEELEEE91 04U CITY OF EVERETT BUSINESS LIC.#(REQUIRED):57075 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-508-6382 Ruth Wyatt CONTACT EMAIL:ruth.wyatt@weelectric.com AGREEMENT:I hereby certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work wdt/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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Ow /Autho ized nt Signature Date (Revised 9/23/2016)