6600 MERRILL CREEK PKY BEN SMITH 2019-02-12

OFEETT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATIOs PROJECT ADDRESS: 6600 Merrill Creek Pkwy. Everett, WA 98203 " , j% BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: la COMMERCIAL USE OF BUILDING: Office ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 8500.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install (1) 50A 120/208 400hz inverter, (26) receptacles and wiremold, (1)disconnect. CONTACT INFORMATION OWNER NAME:Teague TENANT NAME(If Commercial): Ben Smith OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: 425-754-3668 OWNER EMAIL: CONTRACTOR NAME: PRIME ELECTRIC, INC. CONTRACTOR ADDRESS: STREET 13301 SE 26th St. CITY Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: 425-747-5200 CONTRACTOR EMAIL: rbro0ks@primeelectric.com CONTRACTOR LIC.#(REQUIRED): PRIMEEI134BT CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019946 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4255-429-0777 Pat Hoeper CONTACT EMAIL:phoeper@primeelectric.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type 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 local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# (CAM ILA loll eqvl - 1/1)0\4,5 E I ( 6(1 owner/Authorized Agent Signature Date (Revised 9/23/2016)