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oi <br />07:54:01 04-23-2014 1/1 <br />ELECTRICAL PERMIT APPLICATION <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 />�i`i�i�.� <br />12906 Bothel-Everett Hwy ( Mill Creek) <br />PROJECT ADDRESS <br />Owner <br />Fred M <br />Tenant <br />Mail Address <br />1296 Bothell-Everett <br />Mail Address <br />C ity <br />Everett <br />City <br />State/Zip <br />WA 98208 <br />State/Zip <br />Phone <br />Phone <br />Cochran Inc 7550 SW Tech Center Dr #220 Tigard OR 97223 971-205-4242 <br />Electrical Contractor Mail Address City Stafe/Zip Phone <br />COCHRI*088JS <br />State License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addifian) <br />Number of devices (If low voltage) <br />1500.00 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />oeso��ption ofwork co Be �o�e: W011589 PM610 F'red Meyer - Relocate Houseware Shelf Liqhts <br />Tom Irwin 206-498-2275 <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />l hereby certify that I have read and examined ihis application and know the same to be frue and <br />correct. All provisions of /aws and ordinances goveming this fype of worfc wi/l be complefed <br />whether specified herein ornot. The g�anting of a permit does not presume to give aufhority to <br />violate orcancel fhe provisions ofany ofherstate or/ocal law regulating construction or fhe <br />perfoimance of consfrucfion. That I am authorized by the owner of fhis property to perform the <br />work for which application is ma�e and l comp/y with the State Contractors Law 18.27 RCW and <br />296.2001NAC. _ <br />�� ��d��� ` uate <br />ase mai copy of permit to yroach@cochraninc. <br />E��SEo�a�3 Electrician will pick up original permi� and card at counter <br />FEE <br />$87.50 <br />PERMIT# <br />E ;�o�-- �� � <br />Please charge credii card <br />on file - ends 0908 <br />