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� <br /> —1 - <br /> ELECTRICAL PERMIT APFLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �3—v c� <br /> L �'40�7-a � r <br /> 4920 Evergreen Way <br /> PROJECTADDRESS <br /> Evergreen Way Holding LLC 1200 5th Ave Ste 1711, Seattle,WA 98101 <br /> Owner Mail Address Cily State/Zip Phone <br /> DollarTree 4920 Everqreen Way Everett WA 98203 <br /> Tenant Mail Address Ciry State/Zip Phone <br /> BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, [verett,WA 98203 425-776-8835 <br /> Electrical Contractor Mail nddress Ciry State2ip Phone <br /> BERRYNC085L3 $2332.00 <br /> State License Number Contract Prire of Work <br /> Commerical Tracie Skiles <br /> Proposed Use of Building Contact Person (Plar,Review) <br /> oe5cr�puor,ofworkioeeoo�e: INSTALLI setofLEDilluminatedchannelletters <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ��0� _ (7� � <br /> I hereby certify that I have read and examined th is application and know[he same to 6e true and <br /> correct. All provisions of laws and ordinances governin9 this type of work v�ill be completed <br /> whether speafied herein or noL The aranting of a permit does not presume[o give authonry to <br /> violate or cancel the provisicns of any o[her state or local la w regulatin9 construction or the <br /> per(ormance of mnslrucUon. That I am authorized by the owner of this properry to perform[he <br /> work(or which application is made and I comply witli the State Cont ractorz Law 18.27 RCW and <br /> 296.200 WAC . <br /> ����� � ___�� <br /> i <br /> SignaWre Da e <br /> ��J <br />