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( <br /> I <br /> ELECTRICAL PERMIT APPLIGATIAN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wwvr.everettwa.org <br /> � � � /3 -/z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a�lLII v�GI^2 , <br /> l/ <br /> 4919 Evergreen Way, Everett, WA 98203 <br /> PROJECT ADDR�SS <br /> Owner Mail Address Ciry State2ip Phane i <br /> Kroger QFC #852 4919 Evergreen Way Everett WA 98203 425-259-9262 <br /> Tenant Mail Address Ciry Slate2ip Phone <br /> CJ lighting Solutions 21817 88th PI S Kent WA 98031 425-452-7000 <br /> Eleclrical CoNrar.tof Mlail Address Ciry State/Zip Phone <br /> C]ELEE5966M7 $2,500 <br /> State License Number Conlract Price of Work <br /> I� Commercial Grocery <br /> IProposed Use o(Building Contacl Pcrson (Plan Review) <br /> I NA I <br /> Square Foolage(If residenlial new construction,remodel or addilion) <br /> Descr�piion o(Work to Be Done: Replace mutti-deck meat case and canopy lights with LEDs <br /> � <br /> INOTE: WIRING IN NON-DWELLWGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ) � � 5� <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that 1 hava read and examined this applicatien and know the same�o be we and � I � I � r ��� <br /> corcecL All provisons o(laws and ordmances govemmg this rype of work wiU be complefed <br /> � whelher specified herein or not The granting ol a permit does not presume lo give authonry fo <br /> Iviolate or cancel fhe prov�s�ons o(any o(her s(ate or local law regu/aling consWc(ion or the <br /> perfonnance ol construchon. Thal I am authonzed by fha owner of this properly ro peAorm the <br /> work Por which applicafrbn�s made and I comply wifh the Sfate Contractors Law �8.27 RCW and <br /> 296.200 WAC. <br /> ; �� 11.06.12 <br /> I // Signature Date I <br />