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ECTRICAL PERMIT AP .ICATION <br /> '411P, - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: Tt11.5 yj <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION'1NFORI. ATION <br /> CONTRACT PRICE OF WORK:$ / V 0 <br /> NUMBER OF DEVICES (if low voltage): .2...- <br /> FIRE <br /> . - <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: In i / / 7 'W ztilii,") -. /44/1i4.(1 ."-ili s <br /> i� <br /> CONTACT INFORMATION <br /> OWNER NAME: L &/l'14-4Q7yVi.t19 <br /> �TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET �� tli(9 <br /> cin. Everett l STATE WA ZIP cf-z.0 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Berry Sign Systems <br /> CONTRACTOR ADDRESS: STREET 7400 Hardeson Rd <br /> c,Tr Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE: 425.776.8835 CONTRACTOR EMAIL: tracies@berrysignsystems.com <br /> CONTRACTOR LIC.#(REQUIRED): berryss853w7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 24786 <br /> PRIMARY CONTACT: ❑OWNER QI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.776.8835 x 114 <br /> Tracie Skiles CONTACT EMAIL:tracies@berrysignsystems.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> I ((/) 1P1 <br /> City of Everett Oficial Use Only <br /> pl PERMIT# <br /> EA01 ' pati <br /> Owner/Auth d A ent Si ature Date (Revised 9/23/1016) <br />