916 PACIFIC AVE BASE FILE 2017-10-30

I& Ift qW ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857—www.everettwa.org 916 Pacific Avenue Parking Garage #3 PROJECT ADDRESS Providence Pacific Campus 916 Pacific Avenue Everett Y 1/n\1/,Q• 98201 Q2523�0729 Owner Mail Address City State/Zlp Phone Tenant Mail Address City State/Zip Phone Pacific Power Group 805 Broadway Street, #700 Vancouver WA 98660 =53.395-9u77 Electrical Contractor Mail Address City State/Zip Phone EC PACIFPG867D7 047977 State License Number(required) City of Everett Business License Number(required) $250.00 Proposed Use of Building Contract Price of Work Amanda Nokes 425-282-2399 Square Footage(if residential new construction, remodel or addition) Contact Person/Contact Number/Email Number of devices(If low voltage) Description of Work to Be Done: 2 Hour load bank test of emergency standby generators. - 893784 Pacific Campus Parking Garage Gen 3 FEE CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 hereby certify that 1 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 PERMIT# violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the \ � (vtifl work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. 04/12/2017 ature Date i REVISED 08/06/2014 ',.