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To: Page 3 of 3 2016-0'I-04 08 12:00 PST 12063683197 From: Service _ <br />� <br />t <br />ELECTRICAL PERMIT APPL�CATION <br />CiTY OF EVERETT PERMIT SER\/ICES <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 TO 4 PM - DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />��1 ' / UV� I <br />12906 <br />PROJECT ADDRESS <br />FRED MEYER 12906 8ta IHELL EVFRF� EVERETT <br />Owner Maii Address City <br />SAME Sar-ne as Project Address <br />Tenant Maii Address City <br />Co�hran, Ir�c. 12500 Aurora Ave North S�attle <br />Electrical Contractor Mail Address City <br />WA 98208 <br />StatelZip <br />State/Zip <br />Vtf� 9�'I 33 <br />State/Zip <br />20('r406-4123 <br />Phone <br />Phone <br />206-367-1900 <br />Phone <br />cacH�i�oBs�s � 000.00 <br />State License Numbsr Contract Price of Work <br />COMMERCIAL BUILDWG TOM IRWIN 206-498-2275 <br />Proposed Use of Building Confact Person (P(an Review} <br />Description of Work to Be Done: REPLACE LIKE Fa RLIKE SERVICE DELI HOT CASE 2- 30AMP 120/208 V 3PHASE <br />BILL OGDEN 206-518-4331 <br />NOTE: WIRING IN NON-DWELLlNGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />FEE <br />��2,� <br />CITY OF EVEf2ETT LOCAL SALES TAX CODE IS 3105 <br />l hereby certify that 1 have read and examrned t17is applrcatron and knovv the same to be true and I� I I/1� I��%�� <br />correct. AU provisions of /aws and ordinances governmg thfs type of work wiN be comp/eted l/ lX V <br />whether specified herein or� nof. The granting of a permit does not pr-esume to give authority to <br />vrolate or cancei the provisions of any other state or local law regulating construcfibn or the <br />performance of consfruction. That ! am authorized by the owner of thrs property to perform the <br />work for whrch appiication is made and I compJy with the Stafe Contractors Law 98.27 RCW and <br />296.200 WAC. <br />� 1 /04/16 <br />nature na� <br />