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�LECTRI�AL PERMIT AP�LtCAT10N <br /> CITY OF E�IERETT PERMfT SERViCES <br /> 32Q0 CEDAR STREET, EVERETT,WA 9$2Q9 <br /> {P�425-257-881fl � FAX 425-257-8857 � {E)everetteps t�i everettwa.gov ( wwvt+.everettwa.gt�vlpermits <br /> PROJECT S1TE INFQR�#ftAT1�DN <br /> P��.,�c�r�aQ�Ess: 66Q4 Mer-rei#� �reek P!� #10� <br /> 8t1(LDtNG AE2EA(if residentisl,new constructian,remodef,or addition) S� <br /> BUiLEtIhIG 1'YF'E: Q SFR-C}�TACtiED ❑S�R-AI�TRCHEC7 ❑ �ItPLEX C� MULTI-FAA+1[LY-#QF UtV(TS: 0 COMMERCIAL <br /> USE OF BUILDING: (,Qt'1'lIl'1erCla� <br /> � ��CTR[CAL AP'PLICATI�DN 1NFOftMATiOfii <br /> �CUP�TRAG7'PRICE OF WORK: ��O �'�, <br /> NUMBER OF[?EVICES if low vr�ita e : <br /> �lR�AlARM? 4�YES NO <br /> ASS�CIATED BUlLI31NG PERMIT# if applicable : <br /> �E�cRr��r�oN o�woR�c: Install �1) dec�icated duplex receptacl� 20A 120V, and (1) switch - Job#52779 <br /> CONTACT t1r�F4RMATIQt�+1 <br /> OVYNER NAME: TEHANT NAME tf Commercial):���gUE <br /> ��C3WNER MAtLING ADL?RESS: sraEE� <br /> CT�' STATE Z!P <br /> OWtJER PNCINE: OWNER E�AA1L: <br /> cor�r►�Ae�roR rv,anne: Pride Electric, Inc. <br /> CC3NTRACTOR ADI]i2ESS: s�cET'18133 NE 6$fih St, D-120 <br /> �,rY Redmand STnT� UVA z�F� 98052 <br /> ca�r�c�ro�PHo�E:42545�3665 cor�r�c�roR�r��: mbender@�rideelectrie.carn � <br /> co�rr��c�e�R Lic.�t�EQu�R���: P�IDEEEQ77DR CITY OF EVERETT BUSItdESS LIG.#(RE411I eo}:0��'�37 <br /> PRIMARY CC3MTACT: ❑pWNER 0 CONTRACTflR ❑OTHER(Ptease 5pecify) i <br /> �c�r�r�c-r�,�nn�: Ct�hlTACT PHONE: 4254543f�6� <br /> Nf�tt Bertdet' c�oN�aci��n�aiL:�benc�er prideelectric.carn <br /> AGt��EN1ENT:t lyere6y pet#ify tba't t haun r�rad anv examinea�th�s applicatibn and know fhe same to be true end aorrsct, Att{�rpvisians of/asrs and qrdfnanc�s�ovanrdrrg;his type <br /> nf work wrlt be complafed whefher specified hsrein or nat. The granting of a pemrit does not presume to give aufharity to vioiate t�r cancet ih�provis6ans ofany other state or <br /> local 1aw regutating construction or the pe�formance of construction. That t am au€hnrizad by the orvner of this p.roperty to perr`orm fhe work for which application is made and( <br /> conapty svith ihe Stat�Ccrltractors Law 18.27�CbN and 736.20G V`✓AC. <br /> C+ty of Eve�ett O�cia1 Use Only <br /> P�RMIT# <br /> �/f���7 E l�� - �,� <br /> OwneriAeiithorized Ageat Signature Gate {Revised 9/23/2016J <br />