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ELECTRICAL PEi�MIT APPLiCATIQN <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 />2707 COLBY AVE. <br />PROJECT ADDRESS <br />Fibercloud 28�1 1 �th ST Everett VVA 98203 a�5��i,°,�y <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />Pacific Power Group 805 Broadway Street, # 70o Vancouver WA 98660 233�395-'J07] <br />Electrical Contractor Mail Address <br />EC PACIFPG867D7 <br />State License Number (required) <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City <br />State/Zip <br />047977 <br />Phone <br />City of Everett Business License Number (required) <br />Contract Price of Work <br />$250.00 <br />Contact Person/Contact Number/Email <br />o�s���pt�onofworktoBeoo�e: 2 Hour load bank test of emergency standby <br />generators. - 885832 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y certrfy fhat 1 have read and examined fhis application and know the same to be irue and <br />carrect. All provisions of laws and ordinances qovernir�g this fype of work will be completed <br />whether speciiied hereir� or nof. The granfrng of a permrf does not presume to give auti�orify to <br />violate or cance/ the provrsions of any other state or loca! !aw regulafrng constructron or the <br />performance of construction. Thaf 1 am authorized by the owner of fhis property to perform fhe <br />work for which appli tion is niade and ! comply with fhe State Contractors Law ?8.27 RCW and <br />296.2U t�IC. <br />,F- 09/15/2015 <br />�-�-�-_--_ <br />� _ -- <br />REVISEG OfLYl6/?07 q <br />FEE <br />. <br />�����/ <br />PERMIT# <br />� i� ��I ' � �'� <br />