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To: Page 4 of 4 2015-04-08 10:00:06 PDT 12063683197 From: Service <br /> is is <br /> ELECTRUCAL PERM ITAPPLICATION <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 /> &p_6 <br /> )APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �V <br /> 12906 , EVERETT, WA 98208 <br /> PROJECT ADDRESS <br /> FRED MEYER 12906 BOTHELL EVERETT WAY EVERETT 98208 <br /> Owner Mail Address City State/Zip Phone <br /> FRED MEYER SAME Everett WA98208 <br /> Tenant Mail Address City State/Zip Phone <br /> Cochran, Inc P.O. Box 33524 Seattle WA 98133 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> COC H R I*088J 19558 (EVERETT) WA 981.33 206-368-3201 <br /> State License.Number Contract Price of Work <br /> COMMERCIAL BUILDING BILL OGDEN 206-518-4331 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description.of Work to.Be.Done: ALTER 1 120VOLT 20 AMP CIRCUITS. WO# 18661 <br /> CONTACT: BILL OGDEN 206-518-4331 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 50.0.00 i � <br /> r T . <br /> CITY OF EVERETT LOCAL.SALES TAX CODE IS 3105 <br /> 1 hereby certify that 1 have read and examined this application and.know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting ofa permit does notresume to give authority to <br /> violate or cancel the provisions of any otherstate or local law regulating construction or the <br /> performance.of construction.. That/am authorized by the owner of this property to perform the y- <br /> ,.,,,.work for Which..appliioation is made and l comply with the State Contractors.Law 18.27 RCW and C> <br /> 296,200, WaC. <br /> 4/8/15 <br /> $tg ature-'moi Date <br /> . ,: , <br />