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� <br /> ( <br /> ELECTRICAL PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820 i <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 2`I�`� <br /> E 120 2 -o�.6 <br /> �81� <br /> �93�J-Evergreen Way i <br /> PROJECT ADDRESS � <br /> � <br /> QFC 3663 ist Ave S Seattle WA 98134 206-808-0331 <br /> Owner <br /> Mail Address City Stale/Zip Phon�� <br /> QFC #852 4919 Evergreen Way Everett WA 98203 425-259-9262 <br /> Tenanl <br /> Mail Address City StalelZip Phone <br /> CJ Lighting Solutions 21817 88th PI S Kent WA 98031 425-452-7000 <br /> Eleclrical Contraclor <br /> Mail Address Cily StalelZip Phonf: <br /> 602 327 997 (�E�-�S��o`rM �" $ 3,200 <br /> Stale License Number Contract Pnce o(W��rk <br /> ]eff Cby <br /> Retail Grocery <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> i <br /> I <br /> Description or work to ee Done: Replace existing light fixtures with LED lighting <br /> �I <br /> � <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE (' � <br /> BE IN RACEWAYS, MC OR AC CABLE. ` � � � � <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby ceRify fh;et 1 have read and examined fhis applicaiion and know the same to be frue and � I�O^� _ ��!„ <br /> correct. All provisions o/laws and ordinances governing th�s type o!work will be completed ` Y� <br /> whefher spea6ed herein or noL The grantmg o(a permd does not presume to give authority to <br /> vio!afe or cancel fF�e provrsions olany other stafe or local law regulating construcfwn or the <br /> perlormance o/construchon. Thaf I am authorized by the owner ol this property to peAorm the <br /> work for which app6cation is n�ade and 1 compty wdn the State Contracrors Law I8 27 RCW and <br /> 296.200 WA� <br /> i/� �� <br /> � Ian McGregor 02.02.?2 <br /> �,f Signalure Date <br /> Please call 425-452-7000 e�ct 1 for payment by credit card. Thank you! <br />