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To: Page 3 of 3 2016-08-09 11:'18:07 PDT 12063683197 From: Service <br /> � � — <br /> ELECTRICAL PERMIT APPLlCATION <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET; EVERETT, WA 98201 <br /> �i25-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TE?4 PM - DEBIT& CRED(T CARDS ARE NOT ACCEPTED <br /> 1702 HEWITT AVE, EVERETT, WA <br /> PROJECT ADDRESS <br /> US BANK 1702 HEWITT AVE EVERETT WA 9II201 206-963-3522 <br /> Owner Maif Addtess Ciry State/Zip Phone <br /> SAME Same as Project Address <br /> Tenanf Mail Address Ciry State/Zip whone <br /> Cochran, Inc. 12500 Aurora Ave North Seattle WA 98133 206-367-1900 <br /> Electrical Contracior Mait Address City StateiZip Phone <br /> COCHRI'`088JS 1000 <br /> State License Number Coniract Price of Work <br /> COMMERCIAL BUILDING JASON KAMINSKI 206-963-3522 <br /> Proposed llse of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �NSTALL 12/208V 3 PHASE METER& PANEL WITH (2) 20 AMP . WO# 27765 <br /> CONTACT: JA50N K. 206-963-3522 $6,OQ0 <br /> NOTE: WiRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE 1N RACEWAYS, MC �R AC CABLE. <br /> " r� t�— <br /> � <br /> a �-- ' � � eJ <br /> CITY OF EVER�7T LOCAL SALES TAX CODE tS 31fl5 <br /> 1 he�eby certify tt,atl have read and examined this applicatron and know the same to be rrue and � ��O� .� �� � <br /> correcf. Ail provisions of laws and ordinanees governing thrs type of work wiil be completed <br /> whether specifred herein or not. 7'he granfing of a permrt does not presume to give authorrty to <br /> vialate or cancel the provrsions of any other state ar local!aw regutatrng consiruction or the <br /> perfonnance of construcfion. That l am authorized by the owner of this properfy to pe�form the <br /> work for vuhich application is made and I compty with the State Contractors Law 78.27 RCW and <br /> 296.200 WAC. <br /> .� �---�~" 8!9l16 <br /> Signature Date <br />