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E�ECTRICAL PERMIT APPLICATION. y �
<br /> �
<br /> CITY OF EVERETT PERMiT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98209
<br /> (P)425-257-881fl � FAX 425-257-8857 � (E)everettaps@everettwa.gov ( www.everettwa.gov/permits
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<br /> PROJECTADQRESS: 840 N Broadwa , Bld B, �nd Floor
<br /> BUILDING AREA(if residential, new constructlon, remodei,or addition) SF
<br /> BUlLDING Tl'PE: ❑S�'R-DETACHED ❑ SFR-ATTACHED ❑DLIPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING: Office
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<br /> CdNTRACT PR CE OF WORK; $ 22490
<br /> NUMBER OF DEVICES if low volta e : �
<br /> FIRE ALARM? �YES ❑NO
<br /> ASSOCIATED BUILDING PEFtMIT# if a licable :
<br /> DESCRIPTION OF WORK: Tenant Improvement - Job #54866
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<br /> 01NNER NAME: TENANT NAME If Commerclai : DDA
<br /> OWNER MAILING ADDRESS: sr�Eer
<br /> CITY STATE ZIP
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: Pride Elsctric, �IIC.
<br /> CONTRACTOR ADDRESS: S,�EET 18133 NE 68th St, D-102
<br /> �,N Redmond S7ATE WA ziP 9$052
<br /> CONTRAC70R PHONE:42�J-454-3665 CONTRACTOR EMAIL: mbender@prideelectric.COCI'1
<br /> CONTRACTOR LIC.#REQUIRED: CITY OF EVERETT BUSINESS LIC.#(:REQUIRED:n�7137
<br /> PRIMARY CQNTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-454-3665
<br /> Matt Bender CONTACT EMAIL:mbender prideelectric.com
<br /> AGREEMENT.•1 hereby cerflfy that I have read and examined thls appNcafion and know the same to be true and correct. All provlsions oitaws and ordlnances governing this type
<br /> of work wffl be completed whether speoi�ed herein or not. The grenting of a permit does not presums to give authodty to vlolate or cance(the provisfons of any ofher stata or
<br /> local lew regulaiing construction or the performance of constructlon. That!em authorized by the owner of thls property to perform the worlc for whlch appllcatlon ls made and t
<br /> comply wlth the State Contractors Law 18.27 RCW and 298.200 WAC.
<br /> �,
<br /> Clty of Evereft Offlclal Use Only
<br /> PERMIT#
<br /> 3� E �j0�j 02�
<br /> OwnerlAutharize gent Signature Date (Revlsed 9/23/2016)
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