Laserfiche WebLink
Tc��. F'agc ! c�f L LO'1:3-0<-G� '10:50�.58 �+S'T -1LOti_:�Y.�"1_�7 Frr�rr-i: _.�.�vic <br />�_ <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA98201 <br />425-257-8810 - FAX 425-257-8857 — w�nniv.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�c�t`' �v,e, 5� <br />12906 B�he11� Everett Hwy <br />PROJECTADDRESS <br />Fred Meyer 12906 Bothell Everett Hwy Everett <br />OWnef Mail Address City <br />Same as above <br />Tenant <br />Cochran Inc <br />Electrical Contractor <br />COCHRI*088JS <br />State License Number <br />Commercial <br />Proposed Use of Building <br />Mail Address <br />12500 Aurora Ave N <br />Mail Address <br />City <br />Seattle <br />City <br />Square Footage (If residential new construction, remodel or addition) <br />WA (206)367-19�0 <br />State/Zip Phone <br />State/Zip <br />Phone <br />WA (206)367-1900 <br />State/Zip Phone <br />$250 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: Install floor bOx in phOto elect to COver Up existin conduits stubbed out of floor. <br />Alter (1) 20 amp 120 volt CKT. <br />WO#2801. Jobsite contact: Matt English 206-639-8097 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />l hereb�/ certify fhat l have read and examined this application and know the same to be true and <br />correcf AlI provisrons of /aws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provrsrons of any other state or local law regulatrng construction or the <br />performance of construction. That l am authorized by the owner of this property to perfam the <br />work for which application is made and l comply with the State Contractors Law 98.27 RCW and <br />296.200 WAC. <br />Joe Forgette 2/27/13 <br />Signature Date <br />FEE <br />� <br />�� �� <br />����2- ��� <br />