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To Page 6 of 6 2014-12-17 10:45:40 PST 'I 2063683'197 From: Service _ <br />� <br />CJ <br />� � i� � � �� : �i <br />Ca-�� �� ������� �����-� ����r��� <br />320� CEDAR STREET, EVERETT, W/� 98201 <br />425�257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROPVI 8 AM TO 4 PM <br />8530 EVERGREEN WAY, EVERETT, WA 98208 <br />PROJECT ADDRESS <br />FRED IV�EY�R 8530 EVERGREEN WAY EVEF�ETT WA �820� <br />Owner Mail Address City StatelZip <br />FRED MEYER �A�OE Everett 1�1A 9820� <br />Tenant <br />�och�an, Inc <br />Electrical Gontractor <br />COCHRl�O��JS <br />State Lkcense Number <br />Proposed Use oi Building <br />Mail Address City State/Zip <br />P.C�. �ox 33524 Se�ttle inlA J8� 33 <br />titail Address <br />City State(Zip <br />300.00 <br />Phone <br />Phone <br />Phone <br />Contract Price of Work <br />BILL OGDEN 206-321-2190 <br />Contaci Person (Rlan Review) <br />ALTER 1 480V CIRCUIT FOI� NEVV FC�RKLiFT. <br />Description of Work to 6e Done: __ <br />CONTACT: BILL OGDEN 206-321-2190 <br />NOTE: WIR(NG IIV NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, fvlC OR AC CABLE. <br />FEE <br />� I 5�� <br />_ <br />CITY OF EVERETT LdCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be frue and ��� I 2— ��� <br />correct. Al( provis�ons of 18ws and ordinances govemu�g th�s type of work will be complefed <br />whether sper.rtied herein or not. The graoting of a perrnit does noi presume to give auihonty to <br />violate or cancel the provisions of any oiher sfate or ioca/ law regulating construcbon or the <br />perfonnanCe of,co�a�truction. That I am authorized by the owner of this property to perform ihe <br />tnrork for wf�ic�'application �s trrede and l comply with ihe State Contractors Law 78.21 KCW and <br />296.2001�/�1'C. � ';° <br />� � ,��: <br />12-17�14 <br />Date <br />