6000 23RD DR W TEAGUE 2017-06-07

ACTRICAL PERMIT APF ATION EV CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6000 23rd Drive W BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UN4TS: 0 COMMERCIAL USE OF BUILDING: Commercial ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ $9,500.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable):. DESCRIPTION OF WORK: (48) Four-Plex Receptacles, (2) Cord Drops - Job #49999 CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial):Teague OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Pride Electric, Inc. CONTRACTOR ADDRESS: STREET 18133 NE 68th Street, D-120 CITY Redmond STATE WA ZIP 98052.---� CONTRACTOR PHONE: 4254543665 CONTRACTOR EMAIL: 4254978700 CONTRACTOR LIC.#(REQUIRED): PRIDEEI077DR CITY OF EVERETT BUSINESS LIC.#(REQUIRED} ?l� PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4254543665 Matt Bender ICONTACT EMAIL:mbender@prldeelectric.COm AGREEMENT:I hereby certify that 1 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 will 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# A/A.th,,i..6gnature Date (Revised 9/23/2016)