Laserfiche WebLink
From:253395240B To: 14252578857 07/26/2016 12 .47 #811 P.002/002 <br /> 10 0 <br /> ELEC ■ ■ ICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 1700 13th ST Everett, WA 98201 <br /> PROJECT ADDRESS <br /> Providence Everett 1700 13th st Everett WA 98201 4252760,29 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Pacific Power Group 805 Broadway Street, # 700 Vancouver WA 98660 25'--1 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> EC PACIFPG867D7 047977 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> $1000.00 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of work to Be Done: (2) 4 Hour load bank tests of emergency standby <br /> generators. - 889942 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE 13 3105 , <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the �O 1 <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC, <br /> 07/26/2016 <br /> Signature Date <br /> REVISED 00/06/2014 <br />