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From:2533952408 To: 14252578857 07/17/2015 09:54 #260 P.002/002 <br /> 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 lit SU7--e:7( <br /> 7—)b -/C <br /> 2930 Maple St <br /> PROJECT ADDRESS <br /> Group Health 2930 Maple St Everett WA 98201 42&327-0a11 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Ste-lei-Zip Phone <br /> Pacific Power Group 600 S. 56th Pl. Ridgefield WA 98642 -3— <br /> Electrical <br /> 3—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 /> Proposed Use of Building Contract Price of Work <br /> $250.00 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(if low voltage) <br /> Description ofWork toBeDone: 2 Hour load bank test of (2) emergency standby <br /> generators. <br /> FEE /� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 4 5D bO <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All 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 give authority to PERMIT+ <br /> violate or cancel the provisions of any other state or local law regulating construction or the J CO performance of construction. That lam authorized by the owner of this property to perform the U <br /> work for which applica 'on is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.20��C. <br /> it. _ I 07/16/15 <br /> .ignature Date <br /> REVISED 08/06/2014 <br />