1402 SE EVERETT MALL WAY SPACE 380 MAURICES 2017-01-13

� � � �ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits ELECTRICAL APPLICATION INfORMATION CONTRACT PRICE OF WORK: $ 1295 NUMBER OF DEVICES if low volta e: 1 FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # if a licable : oEscRiPTioN oF woRK: Fabricate and install 1 set of 14" channel letters halo lit with LEDs owered with enclosed low voltage power supply mounted onto modified existing bulkhead. . '0 'CONTACT INFORMATEON OWNER NAME: St@aClfaSt COI'Tllll@f CIaI Pf0 erties TENANT NAME (If Commercial): MaUf'IC2S OWNER MAILING ADDRESS: sTReer CIT' Irvine STATE liA Z�p 92612 OWNER PHONE: '425-322-7� $Z OWNER EMAIL: CONTRACTOR NAME. CItY ,� ��P:� I Vi�>. CONTRACTORADDRESS: srReeT 902 NW 49th St �,n Seattle STATE WA Z,P 98107 CONTRACTOR PHONE: 2O6-7H9-4747 CONTRACTOR EMAIL: S8t'8i1 C�l CItyI19I1tSSIgC1.00111 coNT�,croR uc. #�REQu�REo�: CITYLN 1099DG CITY OF EVERETT BUSINESS LIC. #(REQUIRED): O4� 4'� 5 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 2O6-7H9-4%47 Sarah Terry CONTACT EMAIL: S8�aI1 p�iClt IIgI1tSSIgf1.COt11 AGREEMENT: T 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 wil/ 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 pertormance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �� � � � � /� PERMIT # E 1�D -1�1I (Revised 10/12/2015)