1130 SE EVERETT MALL WAY CONTACTS&EYEGLASSES AMERICA'S BEST CONTACTS & EYEGLASSES 2025-12-12

ELECTRICAL PERMIT APPLICATION 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: 1402 SE EVERETT MALL WAY BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL ,USE OF BUILDING: COMMERCIAL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 500 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: INSTALL SINGLE FACE ILLUMINATED WALL SIGN CONTACT INFORMATION OWNER NAME: AMERICAS BEST CONTACTS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET 1402 SE EVERETT MALL WAY SIT,, EVERETT STATE WA zip 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: NATIONAL SIGN CORPORATION CONTRACTOR ADDRESS: STREET 1541 S 92nd Place, Suite B CITY SEATTLE STATE WA zip 98108 CONTRACTOR PHONE: 206-380-2854 1 CONTRACTOR EMAIL: STEVEZ@NATIONALSIGN CORP.COM CONTRACTOR LIC.#(REQUIRED): NATIOSC166MS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-380-2854 STEVE ZAMBERLIN CONTACT EMAIL: STEVEZ@NATIONALSIGNCORP.COM AGREEMENT.1 hereby certify that/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 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# STEVE ZAMBERLIN E Owner/Authorized Agent Signature Date (Revised 912312016)