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ELECTRICAL PERMIT APPLICATlC)N <br /> GITY OF EVERET7 PERM17 SERV(CES <br /> 32Qfl CEDAR STREET, EVERETT, WA 982�1 <br /> {P)425-257-8810 � FAX 425-257-88�7 ( (E)eueretteps@everet#wa.gov ( www.evereiiwa.govfp��rmits <br /> � PR4JECT S1TE iNFtyRN1ATl�N � <br /> �Rc�.�Ec-r aoaREss: 6600 Merrei!( Creek Pk #201 <br /> BUfLDiNG AREA(rf residentiai,new consfruction,remodei,or addition) SF <br /> BUILDiNG TYPE: ❑SFf3-DETACHED ❑5FR-ATTACHED ❑ DUPLEX ❑MULTt-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDING: COCT1Cpgt"Cla� <br /> �"y E��TRlCAL APPLtCATfC�►N 111FF��tMAT10M <br /> cor��r�z�aer PRic�o�woRK: � 4�0 <br /> NUMBER OF DEVICES if low v¢�lta e ; <br /> FiRE ALARM? D YES � NO <br /> ASSOCIATED BUIL€�lNG PERMIT#{�f ap IicabEe�: <br /> t��sc�zi�T�oN oF wo�.K: (nsta(I {2� �dedicated duplex receptac(es 20A 120V -�#ola #5277� <br /> CONTACT IMFt1RMAT10N <br /> �W������: TENANT NAAAE(!f Ctammercial):��`r'��U� <br /> OWNER MAIUNG ADDRESS: s�EEr <br /> crrv <br /> STATE Z�P <br /> OWNER PHONE: OWNER€MA1L• <br /> con�z�croa Na�E. Pride Electric, inc_ <br /> CO�IITRACTOR ADQRESS: SiREET 18133 NE 68th St, D-120 <br /> �,� Redmand STA,� WA <br /> Z�� 9$ <br /> coNrrzacroR PHon►E: 42�454366� co�vr�,�ac�ror�enna��: mbender@prideelectric.ct�m <br /> con�r�ac�oR��c.����c�u��E��: PRIDEE(�77DR errr oF Ev���T��usrn�Ess��c.#�REQurR� }:027137 <br /> PRfMAi2Y COMTA�CT: p p�p�ER B�pNTRACTOR 0 OTNER(Piease Specify) � <br /> CONTAGT tVFiME: CONTACT PHONE: �2��j,�,3��5 <br /> Nl3t$ $e�1deC cor�T�,cr�n�aar�._mbender c.�prideeiectric.com <br /> AGREEMENT.1 hareby certifj�that!havs r�ad and examined thrs epp(ication and know the same fo tre true anU correct: AIf pro��sions of laws and ordinance:s yoveming this typa <br /> of work wr11 be completad whether spec�fied herern or not_ The grcan(ing of a permit does n�t presume to give autharity to violafe nr cancel ihe provisinns of 3ny other stat&pr <br /> (ocal Iaw regulatrnq construcfion or the performance of constructran. Thaf 1 am authorized by the ovmer af this praperfy to perform fhe work for which appticatinn is made and 1 <br /> cornply with ths State i.on;ractars Law 782"I RCW and 29620Q WAC. <br /> Crty o�Evereit O�ciaf tlse Only <br /> PER(UIIT# <br /> ������ � �. � � � � �f <br /> OwnertAuihorised Agenf Signature Date <br /> (R2vised 9!.?.�,�2U16) <br /> _ _ _ _ __ <br />