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PLECTRICAL PERMIT AP (CATION <br /> I�►, -�, CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa,gov l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 5505 Everareen Way <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: Enterprise Rent-a-Car <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 250.00 <br /> NUMBER OF DEVICES(if low voltage): A <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> A Wire 1 new LED cabinet to existing electrical circuit. <br /> CONTACT INFORMATION <br /> OWNER NAME: Scott&Christie Hensrude TENANT NAME(If Commercial): Enterprise Rent-a-Car <br /> OWNER MAILING ADDRESS: SiREEr 6130 Maltby Rd <br /> CITY Woodinville STATE WA ZIP 98102 <br /> OWNER PHONE: (425) 355-9218 OWNER EMAIL: <br /> CONTRACTOR NAME: Insignia Sign Inc. <br /> CONTRACTOR ADDRESS: STREET PO BOX 2849 <br /> cny Renton STATE WA ZIP 98056 <br /> CONTRACTOR PHONE: (425) 917-2109 CONTRACTOR EMAIL: nate@insigniasign.com <br /> CONTRACTOR LIC.#(REQUIRED); INSIGSIO55JS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038029 <br /> PRIMARY CONTACT: 0 OWNER lXl CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425)917-2109 <br /> Nate @ Insignia Sign Inc. CONTACT EMAIL: nate@insigniasign.com <br /> AGREEMENT.*I hereby certify that t have read and examined this application andknow 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 I am authorized by the owner of this properly to perform the work for which application is made and? <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMITT# <br /> Nate eat (Contractor&Agent) 01/12/19 E 1 0'. 112, <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />