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From:2533952408 To: 14252578857 1203/2018 10:38 #357 P.005/006 <br /> IP <br /> ELECTRICAL PERMIT APPLICATION <br /> 1!!!!!:171 <br /> ,44/1 .W- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> .PROJECT''SITE INFO RM ATI'ON <br /> PROJECT ADDRESS: 3000 Rockefeller Ave <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Snohomish County Facilities - Courthouse <br /> 9ELEiCTRI CAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK; $ 270.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES, El 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 - Courthouse-SRO#1901459 <br /> CONI.CTIN'FORMAT10N <br /> OWNER NAME: Snohomish Co- Facilities TENANT NAME(If Commercial): Courthouse <br /> OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave M/S 404 <br /> crry EVERETT STATE wa z,a 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Pacific Power Group <br /> CONTRACTOR ADDRESS: STREET 805 Broadway st Suite 700 <br /> cirr 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: ❑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 /> ka\ ft` E <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />