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0 <br /> ELECTRICAL PERMIT APPLICATION, <br /> �y CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 FAX 425-257-8857 l (E) everetteps@everettwa.gov l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6600 Merrill Creek Prky Suite 202 I <br /> BUILDING AREA(if residential, new constructlon, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 21 COMMERCIAL <br /> USE OF BUILDING: Commercial Office/Warehouse <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 1671.00 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES ONO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Troubleshoot (2) receptacles, install (2) new 20A dedicated receptacles, <br /> (1) 30A dedicated receptacles, and (2) cord reels - Job #51479 <br /> CONTACT INFORMATIQN <br /> OWNER NAME: TENANT NAME I�Commercial):Teag Ue <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Pride Electric, Inc. <br /> CONTRACTOR ADDRESS: STREET 18133 NE 68th Street, D-120 <br /> CITY Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE: 425-454-3665 CONTRACTOR EMAIL: mbender@prldeelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): PRIDEEI077DR ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):027137 <br /> PRIMARY CONTACT: ❑ OWNER 2 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-454-3665 <br /> Matt Bender CONTACT EMAIL:rnbender@prideelectric.com <br /> AGREEMENT:1 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 <br /> of work will be compleled 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 <br /> local law regulating construction or the performance of constructlon. That/am authorized by the owner of this property to perform the work for which application Is made and/ <br /> comply with the State Contractors Law 98.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> OwnerlAut orized Agent Signature Date f (Revised 9/23/2016) <br />