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From:2533952408 <br />-iO:14252578857 <br />• <br />08/l9/2015 15:50 <br />• <br />ELECTRICAL PERMIT APPLICATIOR( <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.arg <br />2300 Kasch Park Road <br />PROJECT ADDRESS <br />Communifiy Transit 230o Kasch Park Road Everett <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Pacific Power Group 6OO S. 56fih PI. <br />Electrical Contractor Mai1 Address <br />EC PACIFPG867D7 <br />State License Number (required) <br />Proposed Use of Building <br />Square Footage (If residenfial new consfruction, remodel or addition) <br />Number of devices (If low voltage) <br />Ciry <br />City <br />Ridgefield <br />City <br />047977 <br />#300 P.004/007 <br />WA 98203 4?5�:,�°„9 <br />State/Zip Phone <br />State/Zip Phone <br />WA 98642 253a�.�» <br />State/Zip <br />Phone <br />City of Everett Business License Number (required) <br />Contract Price of Work <br />$250.00 <br />Contact Person/Contact Number/Email <br />oes�r;Pt;o�ofWo�ktoBeoone: 2 Hour load bank iest of emergency standby <br />generators. - Building D <br />CITY OF EVERETT LOCAL SALES TAX CODE lS 3'105 <br />I hereby certify thaf l have read and examined this applicaiion and know the same to be true and <br />correct. AI! provisions of laws and ordinances governing this type of work will be complefed <br />whether specified herein or not The granting of a permit does not presume to give authority io <br />violate or cancel the provisrons of any ofher state or /oca! !aw regulating construction or the <br />performance of construction. That l am authorized by the owner of this properfy fo perform the <br />work for which application is made and I comply with the State Confractors Law 18.27 RCW and <br />296.200 W(AC. /►c{ a . <br />, — 08/19/2015 <br />Signatu <br />REVISEU 08/Ofi/2U14 <br />FEE <br />���.e�' <br />PERMIT# <br />E � � �� -- I ?�� <br />