1205 CRAFTSMAN WAY SLIP 18 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 l(E)everetteps@everettwa.gav l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1205 Craftsman Way, Dock H, Slip#H18 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 NAME:DaVid Zhou TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 1401 S. Lake Stickney Drive Lynnwood CITY STATE WA ZIP98087 OWNER PHONE: 425-359-7200 OWNER EMAIL: CONTRACTOR NAME:W E Electric CONTRACTOR ADDRESS: sTREETPO Box 2427 arr Redmond STATE WA LP 98073 CONTRACTOR PHONE:425-508-6382 CONTRACTOR EMAIL: ruth.Wyatt@WeeleCtrlc.COm CONTRACTOR Uc.#(REQUIRED): WEELEEE9104U CITY OF EVERETT BUSINESS LIC.#(REQUIRED):57075 PRIMARY CONTACT: 0 OWNER fa CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-508-6382 Ruth Wyatt CONTACT EMAIL:ruth.wyatt@weelectrnc.com AGREEMENT:f hereby 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 type of work wi/be completed whether specified herein or not The granting ora permitdoos not presume to give authority to violate orcanceithe provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this properly to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# u4k1C) En ®el- 02V Owner/Authorzed Aignature Date (Revised 9/23/2016)