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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 I (E)everetteps@evemttwa.gov} www.everettwa.govlpermits <br /> A01- <br /> �,. ..x'• rh ami a,�,. ..... .Yzt tµ'4<A�.rr s. .. .¢ <br /> ;> <br /> PROJECT ADDRESS:6200 23rd Dr W <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> {( 5 <br /> esl' IFt� ' 5 ., a-- .;-F .� T^0 ^o,., �. :44EiE �1. Igi3'1; <br /> CONTRACT PRICE OF WORK:$ 9365 <br /> NUMBER OF DEVICES(if low voltage): 13 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable); <br /> DESCRIPTION OF WORK: Install (13) Communications Cables - Jbo#156297 <br /> OWNER NAME: TENANT NAME(If Commercial):Teague <br /> OWNER MAILING ADDRESS: STREET <br /> CITY ESTATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Pride Electric, Inc <br /> CONTRACTOR ADDRESS: STREET 18133 NE 68th St, D-120 <br /> CITY Redmond STATE WA zip 98052 <br /> CONTRACTOR PHONE:4254543665 CONTRACTOR EMAIL: rnbender@prideelectric.com <br /> CONTRACTOR LIC #(REQUIRED} PRIDEEI077DR CITY OF,EVERETT.,BUSINESS LIC:#(REQUIRED) <br /> =..�.. <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4254543665 <br /> Matt Bender CONTACT EMAIL:mbender@prideelectric.com <br /> AGREEMENT-L hereby certify that t have read end 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 slate or <br /> local law regulating construction or the:performance of construction. That l am authorized by the owner of this properly to perform the work for which application is made and I <br /> comply with the.State Contractors Law 18.27 ROW and 296.200 WAG. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ' t V7711 <br /> E <br /> Owner/<uthorized Agent Signature Date (Revised 912312016) <br />