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� ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 2235 LK HEIGHTS DR <br /> PROJECT ADDRESS <br /> Bethany of the NW 2235 LK HEIGHTS DR Everett WA 98208 Az52380123 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Pacific Power Group 805 Broadway Street, #�oo Vancouver WA 98660 z�-39�9°'° <br /> Electrical ContraCtor Mail Address City State/Zip Phone <br /> EC PACIFPG867D7 047977 <br /> State License Number(required) City of Everett 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(If residential new construction, remodel or addition) Contact Person/Contact NumberlEmail <br /> Number of devices(If low voltage) <br /> oes�r;pt;o�ofWorktoBeoo�e: 2 Hour load bank test of emergency standby <br /> generators. - Bethany of the NW Silverlake 897082 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '�� (1 L� <br /> J � <br /> I here6y certify that!have read and examined this applicafion and know the same to be true and <br /> correct. All provisio�s of(aws and ordinances governing this type of work wil!be completed <br /> whether specified herein or nof. The granting of a permit does not presume to give authority to pE �� �� �� <br /> violate or cancel the provrsions of any other state or local law regulating constructron or the ^ � Z <br /> performance of construction. That/am authorrzed by the owner of this property to perform the t <br /> work for which application is made and 1 comply with the Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> —��� 12/29/2017 <br /> S atu Date <br /> REVISED 08/06/2014 <br />