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T:257]952408 T0. 1925259005� 0]/2</2015 12 :•v0 P2Bd V.OU2/002 <br /> �i� � • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREE?, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org 7 `�a� `�S <br /> C ►SD�--17U <br /> 1602 Hewitt Ave <br /> PROJECT ADORESS <br /> VRZN-SEAOEADWATERSLOUGH 1602 Hewitt Ave Everett WA 98201 ""'���� <br /> Owner Mail Address Ciry StalelZio Phone <br /> v�r,� w►r�l.�ss <br /> Tenant Ma�i ACdress Cily Slate/Zip Phone <br /> Pacific Power Group 600 S. 56th PI. Ridgefield WA 98642 'N'�'°" <br /> ElettriC01 ConifeClof Mail Address Ciry Slate/Zlp Phone <br /> EC PACIFPG867D7 0479i'7 <br /> Stale License Numbor(required) City of Everett Bur'ne �i�ns�Numbcr(requiretl) <br /> Proposed Use ol Building Conlrncl Price of Work <br /> $250.00 <br /> Square Foolage(If res�dential new conslrucfion,remodel or addition) Contact PersoNContact Numher/Emad <br /> Numbor of devices(If low voltage) <br /> oe,��P�;o��;wo�,oeeoo�a: 4 Hour load bank test of emergency standby <br /> generators. <br /> FEf- L /� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 (1.1, y�o, W <br /> `�t � -� <br /> 1 horoby certily Ihaf 1 havo read and exammedlhis applicafion and know fhc s�mo to bo fruo and _ <br /> conecf. Al/provisions ollaws end ordinanr.os govorning fhis typo ol work will bo completod ---- <br /> whofher spoci/ied horein or noL The granfing ol a pormr!does no1 presumo lo give aufhoriry to PtRMIT# <br /> violale o�cancel Iho provisions of any othnr sfafo or local law rngulaling conslruclion or fho ^ �/ Q� � I�O <br /> perlormnnce o!consbudion. Thaf I am aWhorizoJ by fho owner ol lhis propeRy fo podumi!hu t �� <br /> work lor whiCh appliwlion is metlo and 1 comply wifh(he Slale Contractors Law 78,77 RCW nnd <br /> 296.20�y9�A� /�/ ^ _ <br /> 7J �/ (v <br /> 07/24/15 <br /> ISlynaturc Datc <br /> aev�;eo neor.vnw <br />