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• • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> —www. vr w <br /> 425-257-8810 - FAX 425-257-8857e e ett agov <br /> 7425 Hardeson Rd #C <br /> PROJECT ADDRESS <br /> Pro-Fit RX 7425 Hardeson Rd #C, Everett,WA 98203 425.438.6126 <br /> City State/Zip Phone <br /> Pro-Fit RX 7425 Hardeson Rd #C, Everett,WA 98203 425.438.6126 <br /> Tenant Mail Address City State/Zip Phone <br /> Berry Sign Systems 7400 Hardeson Rd, Everett,WA 982038 425.776.8835\k:1ir( <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> berrvss853w7 024786 <br /> State License Number(required) City of Everett Business License Number(required) <br /> commerical $100.00 <br /> Proposed Use of Building Contract Price of Work <br /> Tracie Skiles -tracies@berrysignsystems.com <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 1 <br /> Number of devices (It low voltage) <br /> Description of Work to Be Done: Install 1 wall signs <br /> FEEq9 <br /> Fl <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 l.'0 <br /> I hereby certify that I have read and examined this application and know the same to be true and I <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 not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the I 1 \1-119 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 7‘///S <br /> ( . . ntu re D to <br /> REVISED 08/06/2014 <br />