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; <br /> �-- — t <br /> ELECTRICAL PERMIT APPLICATIO� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERtTT, WA 98201 ��-/ 7'-O� <br /> 425-257-8810 - FAX 425-257-8857-vnruw,everettwa.org �Qqn,9 ��� <br /> 1�-" <br /> APPLIr.ATIONS ARE ACCEPTED FROM 8 AM To 4 PM <br /> 8530 Evergreen Way <br /> PROJECT ADDRES'S <br /> WA Mutual P.O. Box 35547 Tulsa OK 74153 <br /> O�n�ier Mail Address City State2ip Phone <br /> Fred Meyer 8530 Evergreen Way EVGi"G'tt WA 98208 <br /> Tenan[ Mail Address Ctty StatefZip Phone <br /> Cochran, Inc. P.O. Box 33524 Seattle WA 98133 <br /> Electrical Contractor Mail Address Ciy State2ip Phone <br /> COCHRI*088JS $2,000.00 <br /> State License Number Contract Price of Work <br /> Grocery - One Stop �hopping Stan Selle 206-963-2734 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> oes��P�;o�o���o�ktogeoo�e 430509-21983 Hook-up (1 ) Tully's Coffee Sign <br /> Alter (3) Circuits in Tully's Coffee <br /> NOTE: \NIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SFLES TAX CnDE IS 3105 <br /> !heraby cerfi/y that I have read dnd ezamined this applicafiqn anJ kno:vlhe same to be lrue anJ <br /> correW. All provisions ollatvs and wdinances governmg this lype of wak wili be compfeted <br /> �vhether speciLed herein or nof. The granting ot a permd does not presume to give authorify to <br /> violate or cancel the provisions of eny other state or local latv regulating construcLon or the <br /> peAormance uf conshucLon. That I dm authwi:ed Gylhe ownerollhis prupertylo perform Jhr <br /> .vork for;vhich application is mace and 1 compfy with the State Contractas La;i i8.27 RGV✓and <br /> 296.20J ll'AC. <br /> 09-16-09 (/�L7�)�J <br /> S�gnature Date n �1_I <br /> `�� U <br /> � <br /> � <br />