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11f3ai2a12 12:30 �6049�5639 RELIABLE ELECTRIC PAGE 62/a2 <br />. • <br />ELECTRfCA� PERM�T APPLICATION <br />CITY OF E�/ERETT PERIVIIT S�RVIC�S <br />3200 C�DAR STREET, EVEI�ETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.ev�rettwa.org <br />APPI.ICATEONS ARE ACC�PTED FROM 8 AM TO 4 PM <br />916 Paci�c Avertue, Everett WA <br />PROJECT ADDRESS <br />providence Regionai Medical Cer�ter, 9i6 PacFfc Avenue, Everett V1lA 982Q1 <br />Owner t4iail,Address Gity S#a#a2iP <br />Providenc� Regional Medical Center, 916 Pacifc Avenue, Everett WA 9820'1 <br />Tenant Mail Address c;ty State2ip <br />Reliab(e Electric Inc. PO Bax 12205 Olympia <br />ElectCicaf Contr3ctor Mefl Addreas <br />RE�IAEi�16LK <br />State License Number <br />parking garage, haspital <br />Proposed Use of Building <br />5quare Footage (If residerrtial new constructfon, remodel or eddit)on) <br />Cily <br />Phnna <br />Phona <br />WA 98�08 360-943-1006 <br />5taielzip <br />$5>2fl0.00 <br />Cvntract PriCe of Wotk <br />Greg Ness 360-789-26Q8 <br />Contaet i'erson (Plan Review} <br />Descriptian af V�ark to Be Done: add �wo branch circiaits, 208v 1 PH. 4QA, at parfcirtg garage �or <br />electric v�hicfe charging st�tions. <br />c��'.�. �. �" � � <br />NOT�: WIRI{VG IN NON-DWELLINGS IS REQUlRE� TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY O� �VERETT LOCAL SALES TAX G4DE tS 3105 <br />1 hareby c�rtify thai l hav� raad and r�xamine�f this applrcation and know th6 same to be frue and <br />correcf. All provlsions of laws and ordinances gaveming fhis type of work wIA be comp/eted <br />whether specifie4 herein or not. TH¢ gr&nting df a permd dnes riot�1 resume to give 8uthprlty to <br />vlolafe or cancel fhe �rovisions of any other state or /oca! /aw regulating constnrcfion or the <br />per�vrmance of construction. Thet ! ait� authorized by the ow»er of thls prope�ty to perform the <br />work for wh/ch appllcatlor7 is mede and I comp/y wiffi Ihe State Contracfors Lew 98.27 RCW snd <br />796, 200 WAC. <br />Nove�rsber 30, 2012 <br />Phone <br />� <br />� �� �__�� <br />