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m <br />i <br />• 11:08:09 01-03-2014 <br />ELECTRICAL PERMIT APPLICAT�ON <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 />�a-r� <br />12906 Bothell-�verett Hwy (Mill Creek) <br />PROJECT ADDRESS <br />Owner Mai! Address City <br />State2ip Phone <br />Fred Meyer 12906 Bothelf-Everett Hwy Everett Wf� 9�i208 <br />Tenant Mail Address City State2ip Phone <br />Cochran Inc 7550 SW Tech Center Dr #220 Tigard <br />Electrical Contractor Mail Address City <br />COCHRI*088JS <br />State License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />OR 97223 971-205-4242 <br />State2ip Phone <br />2000.00 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />�esor�pt�on ofworkto Se �one: Electrical for New Customer fnformation Desk W09273 PM610 <br />Site Contact - Terry Borowski 503-522-5647 <br />CITY OF EVEREIT LOCAL SALES TAX CODE [S 3105 <br />I hereby ce�tify that I have read and examined fhis appl�cation and kRow the same to be true and <br />correcf. Afl provisions of laws and orriinances goveming this type of wo�ic will be completed <br />whether specifred herein ornot. The granting of a permit does not presume to give authority fo <br />violate or cance! fhe provisions of any ofher state or local law regulating construction or the <br />performance of construction. That I am authorized by the ownerof this prope�ty to perform the <br />worfc for which application is made an�omply with the State Coniracfors Law 18.27 RCW and <br />296.20019t/AC. _ / / <br />P�e�se emai! me a copy of permi# to yroach@cochraninc.com <br />��13 Electrician will pick up the original at counter <br />FEE <br />87�:v�� �� r � <br />_/ <br />PE RM IT# <br />E � �—o d — � � � <br />Please charge credit card <br />on file - ends 0908 <br />� <br />