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From:2533952408 To: 14252578857 lira/2018 10:35 #357 P.002/006 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PRiQJ.EO <br /> SITE INFORMATION. <br /> PROJECT ADDRESS: 720 80th Street SW 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: m COMMERCIAL <br /> USE OF BUILDING: Snohomish County Facilities - DEM <br /> LECA-RICALIAP<PLICATI,ON:INFORMATION <br /> CONTRACT PRICE OF WORK: $ 270.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Performing 2 hour load bank test of emergency standby generator. <br /> Snohomish County Facilities - DEM -SRO# 1901443 <br /> CONTACT.INFORMATION <br /> OWNER NAME: Snohomish Co - Facilities TENANT NAME(If Commercial): Dept. of Emergency Mgmt. <br /> OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave M/S 404 <br /> EVERETT STATE wa zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Pacific Power Group <br /> CONTRACTOR ADDRESS: STREET 805 Broadway st Suite 700 <br /> cm Vancouver STATE wa ZIP 98660 <br /> CONTRACTOR PHONE: 253-395-9077 CONTRACTOR EMAIL: anokes@pacificpowergroup.com <br /> CONTRACTOR LIC.#(REQUIRED): PACIFPG867D7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053000 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-395-9077 <br /> AMANDA NOKES CONTACT EMAIL:anokes@PACIFICPOWERGROUP.COM <br /> 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 <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 state or <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> • PERMIT# <br /> Onk0C) isI))I lg E 1 12-012 <br /> Owner/Authorized Agent Signature Date <br /> (Revised 9/23/2016) <br />