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ELECTRICAL PERMIT APPLICATION. <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6000 23rd Dr W <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: to COMMERCIAL <br /> rS7E0F BUILDING: Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 13,550.00 <br /> NUMBER OF DEVICES If low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Install (5) Large Ceiling Fans and Associated Controls - Job #51458 <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial):Teague <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 /> ,,n Redmond STATE WA zIP 98052 <br /> CONTRACTOR PHONE: 4524543665 1CONTRACTOR EMAIL: mbender@prideelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): PRIDEEI077DR ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 2 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4254.543665 <br /> Matt Bender CONTACT EMAIL:mbender@prideelectric.com <br /> AGREEMENT:i hereby certify that/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 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 <br /> 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/ <br /> comply with the State Contractors Law 16.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E � r�0s - coo <br /> Owl iture Date (Revised 912312016) <br />