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12/20/2021 Page 1 <br /> City of Everett <br /> 10:07:39AM <br /> INSPECTION ACTIVITY REPORT <br /> Permit No. E2111-163 Site Address 916 PACIFIC AVE <br /> Applied 11/23/2021 Applicant PACIFIC POWER GROUP LLC Lot <br /> Approved 11/23/2021 Owner Providence Health and Services Block <br /> Issued 11/23/2021 Contractor PACIFIC POWER GROUP LLC Tract <br /> Parent Permit No. Description Providence-Pacific Campus CATS-SRO#1914535-37 <br /> Notes 1.5 hour load bank test of(3)emergency standby generator sets <br /> Scheduled Completed Type Inspector Result Remarks Inspector's Comments <br /> 12/14/2021 12/14/2021 ELEC 09-FINAL SKB APPRVD-PERK eTRAKiT Inspection 12/13/2021 11:40 AM PACIFIC POWER <br /> Request GROUP LLC <br /> POC onsite is Sam Mathias 253-740-9390 <br /> Contact Name:PACIFIC POWER GROUP <br /> LLC <br /> Site Address:916 PACIFIC AVE <br /> Phone:2533959077 <br /> e-Mail:smathias@pacificpowergroup.com <br /> INSP12 CRWSYSTEtvtS <br />