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To: Page 3 of 3 <br />2016-06-13 08:02:21 PDT <br />� <br />C � <br />12063683197 From: Service _ <br />ELECTRICAL PERMIT APPLlCATIUN <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT $� CREDIT CARDS ARE NOT ACCEPTED <br />1525 75TH ST. SW, EVERETT, WA 98203 <br />PROJECT ADDRESS <br />FRED MEYER <br />Owner <br />1525 75TH ST SW <br />Mail Addr�ss <br />EVERETT <br />City <br />WA 98203 <br />StatelZip <br />206-498-2275 <br />Phone <br />���` ��,��� ��� Same as Project Address <br />�Tenant Maii Rddress City State/Zip Phone <br />Cochran, Inc. <br />Elecirical Contractor <br />12500 Aurora Ave North <br />Mai! Address <br />COCHRI'`088J5 C��� ��G �� � <br />State License Number <br />COMMERCIAL BUILDING <br />Proposed Use of Building <br />Seattle <br />City <br />WA 98133 <br />State/Zip <br />1500.00 <br />Coniract Price of Work <br />206-367-1900 <br />Phone <br />TOM IRWIN 206-498-2275 <br />Contact Person (Plan Review) <br />Description of Work to Be Done: ADD {2) 20 AMP 120 VOLT CIRCUITS FOR NEW OUTLET IN CEILING FOR NEW <br />TOM IRWIN 206-498-2275 WO# 26806 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE !N RACEWAYS, MC OR AC CABLE. <br />CI7Y OF EVERETT LOCAL SALES TAX CODE fS 3105 <br />I here6y cerfify that I have read and examined this application and know tfre same to be true and <br />correct. AI/ provisions of /aws and ardirtances governing thrs type of inrork wlli be completed <br />whether specifred herein or not. The granting ol a perm�t does not presume io give authority to <br />violate or cancel tire provisions of any other state or local law regu/ating construct�on or the <br />perfonnance of construction. That l am autharized by the owner ot'thrs property to pe�form the <br />work for whfch application rs made and 1 comply witf� the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />6/10/16 <br />FEE <br />�����U <br />(, < <G D �D' C� `� � <br />