Laserfiche WebLink
131;24i2E113 12:25 36�4935639 RELIABLE ELECTRIC PAGE 02/l12 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF ;VERETT PERMIT SERVIC'ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � —�-�J ''�3 <br /> 425-257-8810 - FAX 425-257-8857—�vww.everettwa.org //�/✓/�� <br /> C. <br /> APPLICATlOi15 ARE ACCEPTE� FROM 8 AM TO 4 PM <br /> 1717 131h Street, Everett WA <br /> PROJECT ADDRESS <br /> Providence Regional Medical Center, 1700 13th Street, Everett WA 98201 <br /> Owner Mafl Address Cky StatolZlV Phore <br /> Providence Regional Medical Group, 1717 13th Street, Everett WA 96201 <br /> Tenant Meil Address Gty SlatclZip Phone <br /> Reliable Electric Inc. PO Box 12205 Olympia WA 98508 360-943-1006 <br /> • <br /> EleLtfiCAl CorttfF3ctof Pdail Address Clry State/Z1P Phonn <br /> RELIAEI916LK $8,000.00 <br /> State License Number Contrect Price of Work <br /> parfcing garage, Clinic; Providence Medical Group Greg Ness 360-789-2608 <br /> PropoSe�Use of Bwlding Contect Person (Plan Review) <br /> Squar<Footage(It residenti�l new construction, remudel or addition) <br /> �escnP�ion of work to ee oone: add three branch circuits, 208v 1 PH. 40A, at parking garage IevQl P5 for <br /> electric vehicle charging stations. <br /> NOTE: WIRING �N NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. (�C� <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 'L L� <br /> I horoby cort�ly fhat I hsve�ood end exornir,ed Oiis appliCLfion anA know tho samo to be true nnd �I��l �— I� `� <br /> co�oc7. Au provisions of laws and ordinanc�s goverrung th�s rype of work will bo comploted l,J I <br /> whofher specified he�ein or not. The gionting uI a permd dces notPrasuma to give authomy to <br /> videfBOrC8nCH17hg A�WiSi0n50f�nyOth�jrSt(3t20flOCBll9wlCyUefin�jCnnStroCliOROltho � �, <br /> po�lom�ance o!construct�on. That 1 om euthodzatl by 2he on•ner of ih�s p�operty to pedorm the ' <br /> I� �vork lo�wh�cb a IicaGon Is made and/comply with the Stafe Contrncrors C:3�v a8.27 RCW and <br /> 296.200 WAC. <br /> � Z�� January 24, 2013 <br /> ignuture Dale <br />