15 SW EVERETT MALL WAY HOUSEPLANTS GALORE 2022-03-11

ra_ ELECTRICAL PERMIT APO'LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 15 SW Everett Mall Way BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: ® COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 100.00 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: Install 1 lit wall signs CONTACT INFORMATION OWNER NAME: Houseplants Galore TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET 15 SW Everett Mall Way CITY Everett STATE WA ZIP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Berry Sign Systems CONTRACTOR ADDRESS: STREET 7400 Hardeson Rd CITY Everett STATE WA zip 98203 CONTRACTOR PHONE: 425.776.8835 berryslgnsystems.com CONTRACTOR EMAIL: tracies@berrysignsystems.com CONTRACTOR LIC. #(REQUIRED): berryss853w7 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 24786 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Tracie Skiles CONTACT PHONE: 425.776.8835 X 114 CONTACT EMAIL: tracles@berryslgnsystems.COm 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 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 local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC OJvner/Authorized Agent Signature City of Everett Official Use Only PERMIT E �lOg�� I (Revised 912312016)