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ELECTRICAL PERMIT APPLI�ATiQN <br /> CITY 4F EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, EVERETT, WA 982�1 <br /> � 425-257-8810 - FAX 425-257-8$57—www.evereftwa.org <br /> 230� KASCH PARK ROAD Bldg D <br /> ; <br /> PROJECT ADDRESS <br /> Comm. Transit z30Q KASCH PARK ROAD Everett WA 98241 425238Di29 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Sfate/Zip Phone <br /> Pacific Power Group 805 Broadway Street, #7ao �/ancouver WA 98660 25339590» <br /> ElectricaE Contractor Mail Address City State/Zip Phone <br /> EC PACIFPG8C7D7 047977 , <br /> State License Number(required) City of Everett Business License Number(required) � <br /> $250.00 <br /> Proposed Use of Building Contract Price of Wark <br /> Amanda Nokes 425-282-2399 � <br /> Square Footage(If residential new construction, remodei or addition) Contact Person/Contact NumberlEmail , <br /> � <br /> i <br /> Number of devices(!f low voltage) � <br /> � <br /> DescriptionofWorktoBeDone: � Hour load bank t�st of emergency standby � <br /> generators. - 893712 � <br /> I <br /> � <br /> FEE � <br /> Cf'T'Y OF EVERET7 LOCAL SAL.ES TAX CODE lS 3105 � I� V"� � <br /> "�V n � <br /> !hereby certify thaf 1 have read and examrned this appficafion and know the same to be true and <br /> correct. AJI provislons of taws and ordinances governrng this type of work wil!be completed <br /> whether specified herein or not. The grantrng of a permit does not presume ta give authorify fo PERMIT# <br /> violate or cance!the provisions of any ofher state or loca!law regulating construction or the ) <br /> performance of construction. That 1 am authorized by the owner of fhis properly to perform the E �� �+—�� ��--�� <br /> work for whrch application is made and 1 comply with the Sfate Contractors Law 18.27 RCW and <br /> 296,200 WAC. /.' <br /> 9 �"__i.- __.._-._ <br /> ,�� ��'� '�,i/_ l_._ /�7 44/05/2017 <br /> "Signatu�%� G-� - --�' Oate <br /> � o�/ <br /> Reviseo oerosrzo�a <br />