6600 MERRILL CREEK PKY TEAGUE 2017-10-24

ELECTRICAL PERMIT APPLICATION, Ey CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 l FAX 425-257-8857 l (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6600 Merrill Creek Prky Suite 100 i 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: Commercial Office/Warehouse ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2277.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ONO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Relocate (1) 60A 120/208V panel, refeed 4 receptacles from said panel, relocate (2) eceptacles, install (2) new receptacles - Job #51484 CONTACT IN,FORMATI N 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 ,,T,,Redmond STATE WA Z,P 98052 CONTRACTOR PHONE: 425-454-3665 CONTRACTOR EMAIL: mbender@prideelectric.Com CONTRACTOR LIC.#(REQUIRED): PRIDEEI077DR CITY OF EVERETT BUSINESS LIC.#(REQUIRED):027137 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-4.54-3665 Matt Bender CONTACT EMAIL:mbender@prideelectric.com AGREEMENT:I hereby certify that 1 have read and examined this application and know the same to be true and correct. Allprovisions 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/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 16.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Own./Authorized Agent Signature Date tl (Revised 9/23/2016)