6600 MERRILL CREEK PKY TEAGUE 2017-10-24

•ELECTRICAL PERMIT APILICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6600 Merrill Crk Pky, Building 100, Suite 106 BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Office/Warehouse ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1295 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Install (15) receptacles - Job #49970 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, Suite D-120 ,,,Redmond STATE WA ZIP 98052 CONTRACTOR PHONE: 4254543665 CONTRACTOR EMAIL: mbender@prldeelectric.COm CONTRACTOR LIC.#(REQUIRED): PRIDEE1077DR CITY OF EVERETT BUSINESS LIC.#(REQUIRED):,_, = t PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4254543665 Matt Bender CONTACT EMAIL:mbender@prideelectric.com AGREEMENT.,I hereby certify that t 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# OSS OwneriAuthorized Agent Signature Date (Revised 9/23/2016)