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ELECTRICAL Permit Number: E2507-018 <br /> PERMIT Permit Type: ELECTRICAL <br /> Lm <br /> Permit Subtype: STANDARD ELECTRICAL PER <br /> FVERIETT City of EverettPermit Services Date Issued: 7/3/2025 <br /> WASHINGTON PermitServices@everettwa.gov 1425.257.8810 Request Inspections: OnlinePermits.everettwa.gov <br /> PERMIT INFORMATION: <br /> SITE ADDRESS: 12800 19TH AVE SE PARCEL#: 28053000407200 <br /> DESCRIPTION: LOAD BANK TEST- MILL CREEK CLINIC- 114208 TENANT: PROVIDENCE MEDICAL BUILDING <br /> GENERATOR LOAD BANK TEST <br /> CONTACT INFORMATION: <br /> OWNER: PROVIDENCE HEALTH&SERVICES PHONE: <br /> MAILING ADDRESS: 1801 LIND AVE SW#9016 RENTON,WA 98057 EMAIL: <br /> APPLICANT: PACIFIC POWER(ELECT)GROUP LLC PHONE: (253)395-9077 <br /> MAILING ADDRESS: 7215 S. 228th S Kent,WA 98660 EMAIL: SERVICE-ADMIN-KENT- <br /> PGEN@PACIFICPOWERGROUP.COM <br /> CONTRACTOR: PACIFIC POWER(ELECT)GROUP LLC PHONE: (253)395-9077 <br /> MAILING ADDRESS: 7215 S. 228th S Kent,WA 98660 EMAIL: SERVICE-ADMIN-KENT- <br /> PGEN@PACIFICPOWERGROUP.COM <br /> STATE CONTRACTOR'S LIC#: PACIFPG867D7 EVERETT BUSINESS LIC#: 53000 <br /> PERMIT FEES: <br /> DESCRIPTION PAID AMOUNT DATE PAID <br /> 07 COMMERCIAL ELECTRICAL $69.50 7/3/2025 <br /> Percent Credit Card Fee $1.60 7/3/2025 <br /> $71.10 <br /> PERMIT DETAILS: <br /> Relationship to Project: Hired WA State Licensed Electrical Contractor Is Plan Review Required: NONE OF THE ABOVE-PLAN REVIEW NOT <br /> REQUIRED <br /> Building Type: COMMERCIAL Attachments: <br /> Project Type: OTHER(EXPLAIN IN DESCRIPTION NOTES ABOVE) Project Sq Footage: Not Applicable <br /> Associated Permit#: N/A No. of Dwelling Units:0 <br /> Building Use: NONE OF THE ABOVE-PLAN REVIEW NOT REQUIRED Area of Work on Site: GENERATOR <br /> Scope of Electrical Work: OTHER-DESCRIBE IN DESCRIPTION NOTES #of Circuits:0 <br /> Service: NO Complete Re-Wire: NO <br /> Feeder: NO <br /> #of LV devices:0 Secure Access: NO <br /> Data: NO Security System: NO <br /> Intercom: NO Fire Alarm: NO <br /> Thermosat: NO Fire Alarm Permit#: N/A <br /> Audio: NO Other(list all): <br /> Permit Number: E2507-018 Page 1 of 2 <br /> EVERETT <br />