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From:2533952408 <br />To:14252578857 04/l2/2016 13:40 N629 P.002/002 <br />ELECiI�ICAL PERMIT Al�PLIC�OTION <br />CITY OF EVERETT PERMIT SEI�VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />2300 Kasch Park Rd Shelter <br />PROJEC7 ADDRESS <br />COi71tl1U111t�/ TfaClSit 2300 Kasch Park Rd 5heiter Everett WA 98201 Z5�-395.907] <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 253-3959077 <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 />$250.00 <br />Coniract Price of Work <br />Amanda Nokes <br />Contact Person/Contact Number/Email <br />peS��;p�;o„ ofWorkto ge oo�e: 2 Hour load bank test of emergency standby <br />generators. <br />CiTY OF EVE12EiT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerfify fhat 1 have read and examined this application and know the same to be true and <br />correct. Ail provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to givo authority fo <br />violate or cancel the provisions of any ofher state or /ocal !aw regulating construction or the <br />performance of construcfion. That 1 am aufhorized by the owner of this property to perform the <br />work for which app/icafion is ma .e and / comply wrfh the Sia(e Contractors Law 18.27 RCW and <br />296.200 WAC. .. <br />_,; ��-��. /��,�_.,��„�� . 04/12/2016 <br />REVISED 08/06/2014 <br />FEE <br />� ��� o% <br />PERMIT# <br />E I l�C��- �� <br />