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ELECTRICAL PERI�IlT APPLICATION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDtii, STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM (s AM TO 4 PM <br />15 EVERETT MALL WAY <br />PROJECT ADDRE55 <br />EVERETT PROJECT LLC I I 2256 38TH PL E--- SEATTLE, WA 98122 <br />Owner <br />Mall Address <br />Molina Medical,l5 EVERETf MALL WAY, <br />Tenant <br />Mall Addmss <br />City <br />WA <br />City <br />BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett, WA 98203 <br />ElectricalContractor MailAddress <br />BERRYNC085L3 <br />State License Number <br />Commerical <br />Proposed Use of 6uildin9 <br />DescriptionofWorktoBeDone: �NSTA��2�IiWd��51Qi1 <br />NOTE: WIRING IN NON-DWELLING515 REQUIREDTO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br />City <br />'� �-�{ /0 <br />C—l�g'�� f <br />State2,y <br />State/Lip <br />425-776-8835 <br />State2ip <br />5 � ao.00 <br />ConVac[ Price of Work <br />Tracie Skiles <br />Contact Person (Plan Review) <br />1 hereby certi(y tha[ I have rPad and examined th is application and know the same to be [rue and <br />�orrecL All pwvaions of laws and ordinances governmg this type o(work will be completed <br />whether specified herein or noL The granting of a permit does not presume ro give authonty (o <br />violate or cancel the provisions of any other s[ate or local la w regulating construcuon or the <br />performance of consUudion. That I am authorized by Ihe owner of this properry to Perform the <br />work (or which application is made and I comply witli the State Cont racrors Law 18.27 RCW and <br />%%%��� ��-/�� <br />FEE <br />Phone <br />Plione <br />Phone <br />�lcx>8—(S� <br />