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Aug- 17. 2015 8 : 30AM Stoner Electric Group No- 3907 P. 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 /> 12906 19th AVENUE SE <br /> PROJECT ADDRESS <br /> FRED MEYER PO BOX 42121 PORTLAND OR 77242 <br /> Owner Mail Address City slate/Zip Phone <br /> FRED MEYER 0458 — EVERETT 425-357-2000 <br /> Tenant Mall Address City Slate/Zip Phone <br /> STONER ELECTRIC, INC. 1904 SE OCHOCO MILWAUKIE OR 97222 503-462-6500 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> STONEEC322PG 039886 <br /> Stala license Number(required) City of Everett Business License Number(required) <br /> N/A $ 22,800 <br /> Proposed Use of Building Contract Price of Work <br /> Dennis Whitcomb, 503-462-5214, <br /> dennisw@stonergroup.com <br /> Square Footage (If residential new construction, remodel or addilion) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be none: WIRE FOR NEW STARBUCKS KIOSK <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> t hereby certify that I have read and examined this application and know the some to be true and $442,00 <br /> correct. All provisions of Paws and ordinances governing this type of wo►1s will be completed <br /> whether specified herein or not "rhe granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction_ That t am authorized by the owner of this property to perform the E _ D <br /> work for which application is mad©and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Signature Date <br /> REVISED 06/08/2014 <br />