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From:253395240B <br />To:14252578�57 <br />OII/19/2015 15:50 <br />� <br />ELECTRICAL PERMIT APPLICATIOIV <br />C[TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR�ET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />2340 Kasch Park Road <br />PROJECT ADDRESS <br />Community Transit 2300 Kasch Park Road EVerg�it <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Pacific Power Group 6OO S. 56th PI. <br />Electrical Cantractor Mail Address <br />EC PACI FPG867D7 <br />State License Number (required) <br />Proposed Use of Building <br />Square Footage (if residential new construction, remodel or addiiion) <br />Number of devices (If low voltage) <br />City <br />City <br />Ridgefield <br />City <br />047977 <br />#300 P.005/007 <br />WA 98203 °�51��°,Z� <br />State/Zip Phone <br />Stafe/Zip Phone <br />W A 9 8 64 2 �533B5-S077 <br />5tate/Zip <br />Phona <br />City of Evereft Business License Number (required) <br />Contract Price of Work <br />$250.00 <br />Contact Person/Coniact Number/Email <br />oeS�f;pt;o�ofWo�ktoBeoone: 2 Hour load bank test ofi emergency standby <br />generators. - Community Shelter <br />C1TY OF EVERETT LOCAL SALES iAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />correcf. AlI provrsions oflaws and ordinances governing fhis type of work will be completed <br />whether specrfied herein or nof. The grantrng of a permit does not presume fo give authorify to <br />vio/ate or cance! the p�ovisions of any other state or /ocal /aw regu/ating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which applicafion is made and l comply with the State Contractors Law 18.27 RCW and <br />296,20� WAC. „ . <br />08/19/2015 <br />nature <br />FEVISE(7 OF3Po6/'1074 <br />FEE <br />��,�� <br />PERMIT# <br />E I�C�� � I�� <br />