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To: Page 4 of 4 2014-10-15 07:28:03 PDT '12063683197 From: Service <br />���� '� � � �� ��' �' <br />�sl� i �� �V�1Z� 1 1 �Cf'61YI�T ��� V �1��� <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 T� d PNI <br />8530 EVERGREEN WAY, EVERETT, WA 98208 <br />PROJECT ADDRESS <br />FRED MEYER <br />Owner <br />FRED fVIEYER <br />Tenant <br />Cochran, lnc <br />Electrical Contractor <br />COCHRf�`088JS <br />State License Number <br />Proposed Use of Building <br />8530 EVERGREEN WAY EVERETT <br />�4ail Address City <br />SAME Everett <br />A4ail Address r.+ty <br />P. O. Box 33524 Seat�! e <br />Mail Address <br />� •: �: <br />State/Zip <br />WA 98208 <br />State/Zip <br />WA 98133 <br />City State/Zip <br />500.00 <br />Phone <br />Phone <br />Phone <br />Contract Price of Work <br />BILL O. 206-321-2190 <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />ALTERED 1 30 AI�P CIRCU(T. WO# 124i5 <br />CONT�CT: BILL OGDEN 206-963-2190 <br />NOTE: WIRING IN NOfV-DWELLINGS 15 REQUIREE� TO <br />BE IN RACEWAYS, MC OR AC CAf3LE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E 1S 3105 <br />f hereby certify that 1 have read and examined thrs applicafion and know fhe same to be rrue and <br />correct. All provisions of laws and ordinances governin� this iype of work will be complefed <br />whether s pecrfied herein or not. The graniing o i a permit does not presume to give aufharrty to <br />violate or cancel the provisions ot any other stale or /ocal !aw regulating construcUon or the <br />performance of construction. That l am authorized by ihe owner of th�s properfy to perform fhe <br />work for which application is made and ! comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />�_c�.._��---_._.___________-- 10-15-14 <br />gnature Date <br />FEE <br />��..�0 <br />�� l-}- i �.� � 0 3 <br />