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From:'L53395240Ei <br />To:14252578857 <br />� <br />72/lFi/2015 12:16 #442 P.002/002 <br />� <br />ELECTl�ICA� PERMIT APPLICATION <br />CITY OF EVERETT PERMtT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88'[ 0- FAX 425-257-8857 — www.everettwa.org <br />6133 Lake Chaplain Rd. -����,��/ =� ��,r�;�l°� P�,��;�' <br />PROJECT ADDRESS <br />City of Everett PO box 12130 Everett Sultan WA 98294 415Z5,88� <br />Owner Mail Address City Staie/Zip Phone <br />Tenant Mail Address City 5tate/Zip <br />Pacific Power Group 805 Broadway Street, # 70o Vancouver �/�/A <br />Electricai Contractor Mail Address <br />EC PACIFPG867D7 <br />State License Number (required) <br />Proposed Use of Building <br />Square Footage (lf residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City <br />State/Zip <br />Phone <br />98660 �5,_�95Aa» <br />Phone <br />047977 <br />City of Everett Business License Number (required) <br />.�6��.00 <br />Contract Price of Work <br />Amanda Nokes 253-395-9077 <br />Contact Person/Contact NumberlEmail <br />oes��;pt;o� of Workto Be oone: 4 Hour load bank fiest of emergency standby <br />generators. - 886788 <br />CITY OF EVERETT LOCAL SAL�S TAX CODE lS 3105 <br />I hereby certify that I have read and examined this applicafion and know the same fo be true and <br />correct. All provisions of laws and ordinances governing ihis fype of work will be complefed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />vrolaie or cancel the provisions of any other stafe or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this property fo perform the <br />work for which application is made and I comply with fhe State Contractors Law 18.27 RCW and <br />296.20Q WAG � _ <br />12/18/2015 <br />REVISED C1FiiDG/2014 <br />FEE <br />� � <br />� <br />�� � <br />PERMiT# <br />E � � `2— I �{ G <br />