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To: Page 3 of 3 2016-07-05 08:07:44 PDT 12063683197 From: Service <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> i ctc Alt Ye- <br /> 12906 BOTHELL EVERETT HWY EVERETT, WA 98208 <br /> PROJECT ADDRESS <br /> FRED MEYER 12906 BOTHELL EVERW EVERETT WA 98208 206-518-4331 <br /> Owner Mail Address City State/Zip Phone <br /> SAME Same as Project Address <br /> Tenant Mail Address City State/Zip Phone <br /> Cochran, Inc. 12500 Aurora Ave North Seattle WA 98133 206-367-1900 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> COCHRI*088JS COCIt o© rq7 500 <br /> State License Number Contract Price of Work <br /> COMMERCIAL BUILDING BILL OGDEN 206-518-4331 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: EXTEND AN EXITING 20 AMP CIRCUIT 50FEET TO A NEW OUTLET FOR A BANANA <br /> FAN. CONTACT: BILL OGDEN 206-518-4331 WO#27157 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and 6-1(.06 7-col <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does notresume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> perfonnance of construction. That i am authorized by the owner of this roperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. <br /> • <br /> 7/5/16 <br /> Signature Date <br />