12906 19TH AVE SE 2018-01-02 MF Import

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT. WA 98201 3 425-257-8810 - FAX 425-257-8857 — www.everettwa.org DF4S APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED 12906 Bothell -Everett Hwy, Everett, WA PROJECT ADDRESS Fred Meyer Owner Mail Address City State/Zip Phone Fred Meyer Same as Project Address Tenant Mail Address City Statel7ip Phone Cochran, Inc. 12500 Aurora Ave North Seattle WA 98133 206-367-1900 Electrical Contractor Mail Address City State/Zip Phone COCHRI'088JS 1,000.00 State License Numter Contract Price of Work Retail Stan Sells, 206-963-2734 Proposed Use of Bu;iding Contact Person (Plan Review) Description of Work to Be Done: 430507-15287 Install (1) 20amp Circuits and Outlet for Pet Cooler. — NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE BE IN RACEWAYS, MC OR AC CABLE. CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specirled herein or not. The granting of a permit does not presume to give authority to violate or cancel the pprovisions of any other state or local law regufating construction or the performance ofconstruction. That I am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 C. i Signature Date