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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa org <br /> <_5+s Evcqmen Way E.eren.WA 9e2oJ <br /> PROJECT ADDRESS <br /> Heritage Bank 5615 Evergreen Way Everett, WA 800.459.2967 <br /> Owner h1a�lAddress Gfy Slatel7ip Phone <br /> Y/A <br /> TenBnt Ma�l Address City S;ate2�p � Phone <br /> I-5 Design & Manufacture 8751 Commerce Place Drive Lacey, WA 9i3516 j <br /> Electncal ConUaclor Ma�l Adtlress Crty State2ip Pnone <br /> 15DESDM9348P 020900 <br /> State License Number(reqwred) Crty of Everetl Business License Number(requ�red) <br /> Heritage Bank <br /> Proposed Use of 6uilding CoMracl Price of Work <br /> Susan Hier 800.459.2967 susan@i5design.com <br /> Square footage (If resideMial new construdlon, remodel or addition) Contacl Person/Contacl NumbedEmail <br /> (2) wall signs and 1 pylon cat�inet <br /> Number of devices(If low voltage) <br /> 0�5���Puo� or wo�k�o ao oo�E: Installing 2 sets of channel letters (wall mounted on raceway) an�� one new <br /> pylon cabinet sign. To be intemally illuminated with low voltage LCD lighting. <br /> FEE <br /> CITY OF EVERETT I.00AL SALES TAX CODE IS 3105 �00� <br /> I hereby ceRily that I have read and examined Ihis apphcafion and know fhe same to be fiue anU <br /> carrecf All provis�ons o/laws and ordinances governing Ihis lype ol work will be comple(ed <br /> whetherspecified hem,in or noL The gronting oI a permd Aoes not presume fo give authonty to PERMIT# <br /> v�olafe or cancel the provisions ol any olher sfate or local law mgulating consfruction or fhe E � 5 0 � �3�1 <br /> pedomiance ol consfrucfion. That 1 am au(honzed 6y fhe owner o/(his prope�fy fo per'orm the <br /> work lor which applicafion is made and 1 comp/y wifh(he Sfa(e Contractors Lav� 18 27,4CW and <br /> 29620 WAC. <br /> ��c `�� �' t� I <br /> � <br /> Signalurc Date <br /> R�V6ED 0296.40 t J <br />