2707 COLBY AVE BASE FILE 2019-08-07

��----!� ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2707 COLBEY AVENUE BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: Green House data 1900955 'ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 250.00 each NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Performing a 2 hour load bank tests of emergency standby generator. Green House Data 1900955 CONTACT INFORMATION OWNER NAME: Green House Data TENANT NAME(If Commercial): GREEN HOUSE DATA OWNER MAILING ADDRESS: STREET 2707 COLBEY AVENUE „Ty eVERETT STATE wa ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Pacific Power Group CONTRACTOR ADDRESS: STREET 805 Broadway St Suite 700 c,Ty Vancouver STATE wa ZIP 98660 CONTRACTOR PHONE: 253-395-9077 CONTRACTOR EMAIL: ktrojcak@pacificpowergroup.COm CONTRACTOR LIC.#(REQUIRED): PACIFPG867D7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053000 PRIMARY CONTACT: ❑OWNER QI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-395-9077 AMANDA NOKES CONTACT EMAIL: KTROJCAK@PACIFICPOWERGROUP.COM AGREEMENT*t hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and i comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# i E • er/Autho' :• •gent Signature Date (Revised 9/23/2016)