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4577 ELECTRICAL PERMIT APPLICATION <br /> 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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3726 BROADWAY <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: VI COMMERCIAL <br /> USE OF BUILDING: COMMERCIAL750 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES IZ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: INSTALL SINGLE FACE ILLUMINATED WALL SIGN AND REPLACE PANELS ON <br /> EXISTING ILLUMINATED MONUMENT SIGN <br /> CONTACT INFORMATION <br /> OWNER NAME: K&AW LLC TENANT NAME(If Commercial): HEAR USA <br /> OWNER MAILING ADDRESS: STREET 3726 BROADWAY <br /> ciTv EVERETT STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: NATIONAL SIGN CORPORATION <br /> CONTRACTOR ADDRESS: STREET 1541 S 92ND PL <br /> cm, SEATTLE STATE WA ZIP 98108 <br /> CONTRACTOR PHONE: 2062820700 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): NATIOSC133MS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER VI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2063802854 <br /> STEVE ZAMBERLIN CONTACT EMAIL: STEVEZAMBERLIN@NATIONALSIGNCORP.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 I am 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 /> City of Everett Official Use Only <br /> ' PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />