2615 BROADWAY QFC 2017-10-03 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps e�,x�everettwa.gov I www,everettwa.gov/permits PROJECT 'S SITE INFORMATION, PROJECT ADDRESS: 2615 Broadway Ave BUILDING AREA(if residential, new construction, remodel,or addition)retrofit SF BUILDING TYPE: ❑SFR-DETACHED ©SFR-ATTACHED ❑ DUPLEX © MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: Grocery Store EI- CTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK 5000 NUMBER OF DEVICES if low v ita e): FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT# if applicable DESCRIPTION OF WORK: Change fluorescent ballasts like for like. Change lamps like for like(EED T8 lamps that are compatible with fluorescent ballast). CONTACT INFORMATION OWNER NAME: QFC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: r+ r= 2615 Broadway Ave Everett S71TE WA Z,:. 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; Sunvolt Energy Corporation CONTRACTOR ADDRESS: STREET 10900 NE 8th St. #1000 r;,T1; Bellevue STATE WA ?!p 98004 CONTRACTOR PHONE: 323-780-9898 CONTRACTOR EMAIL: and rew�,}Q insolarco.com CONTRACTOR LIC.#(REQUIRED): SUNVOEC841 NW CITY OF EVERETT BUSINESS LIC,#(REQUIRED). 050503 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 323_780-9898 Andrew Kim CONTACT EMAIL: andrew@insolarco.com AGREEMENT.t hereby certify that!have read and examined this application and know the same to be true and correct All provisions of lawns and ordinances governing this type of work will be completed whether specified herein of not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construct*o. That i am authorized by the owner of this proptWy to perform the work for which application is made and I comply with the State Contractors Law 18 27 kCW and 296.200 WAC. City of Everett Official Use Only LL PERMIT# ftj E( / - .. ............ . 0 5/ --7 off Z Owner/Authorized Agent Signature Date (Revised 912312016)