7600 EVERGREEN WAY EVERETT CLINIC RESOURCE CENTER 2017-05-23

EtILECTRICAL PERMIT API L.:CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 i FAX 425-257-8857 1 (E) everetteps@everettwa.gov i www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 7600 Evergreen Way BUILDING AREA(if residential, new construction, remodel, or addition)Unknown SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Data Center ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 4966 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Remove and replace batteries In (2) existing UPS Units. CONTACT INFORMAT,," OWNER NAME: Unknown TENANT NAME(If Commercial): Everett Clinic �b OWNER MAILING ADDRESS: STREET C[Y STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: American Power Systems CONTRACTOR ADDRESS: STREET 26507 79th Ave S CITY Kent STATE WA ZIP 98032 CONTRACTOR PHONE: 800-395-0693 CONTRACTOR EMAIL: ahrenminsch@ampowersys.com CONTRACTOR LIC.#(REQUIRED): AMERIPS013RM CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038160 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) Service Manager CONTACT NAME: CONTACT PHONE: 253-391-0428 Ahren Minsch CONTACT EMAIL:ahrenminsch@ampowersys.com AGREEMENT/hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type 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 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Ahren Minsch 3/16/2017 11" Owner/Authorized Agent Signature Date (Revised 9/23/2016)