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{ � <br /> � ELECTRICAL PERM�T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa,arg <br /> 2300 KASCH PARK ROAD <br /> PROJECT ADDRESS <br /> Comm. Transifi 2300 KASCH PARK ROAD Everett WA 98201 425238Ct29 <br /> Owner Mai!Address City State/Zip Phane <br /> Tenant Mail Address City StatelZip Phone <br /> Pacific Power Group 805 Broadway Street, #70o Vaneouver WA 98664 Z5�39b-90'R <br /> E(eCfriCai.ContraCtor Mail Address City State/Zip Phone <br /> EC PACIFPG867D7 047977 ' <br /> State License Number(required) City of Everetf Business License Number(required) <br /> �250.00 <br /> Proposed Use of Building Contract Price of Work � <br /> Amanda Nokes 425-282-2399 <br /> Square Footage(lf residential new conslruction,remodei or addition) Contact PersonlContact NumberlEmail <br /> Number of devices(if low voltage} <br /> pes��;��;on of Wo�k to BQ oo�e: 2 Hour load bank test of emergency standby � <br /> generators. - 893711 <br /> FEE � <br /> CtTY OF EVERETT LOCAL SALES TAX CbDE !S 39Q5 � LO <br /> !hereby cerfify that I have read and examined fhis appUcation and know the same to be true and � " ' <br /> correcf. All provisians of lav✓s and ordinances governing thrs type of work will be completed <br /> whether specified herein or not. The granfing of a permif does not presume to glve authority to PERMFT# <br /> violate or cancel the provisions of any ofher state or loca!!aw regulating canstrucfion or fhe � f <br /> performance of consfrucfion. that!am aufhorized by fhe owner of this property to perform the E �� �"I ��u� <br /> work for which applicafian is made and I comply with fhe State Contractors Law 18.27 RCW and � 1 <br /> 296.200 WAC. �.�''~"} <br /> ! = '�"�r 04/05/2017 <br /> �� --�' � <br /> �,'' ,1-- <br /> Si c�e �~"�-�' Date <br /> :i ` /� � � <br /> � <br /> REVISED OB/06/209a <br />