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ELECTRICAL PERMIT APPLICATION ao.-oq <br />CITY OF EVERETT PERMIT SERVICES Cho -� <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 PfV1 <br />1205 SE EVERETT MALL WAY <br />PROJECT ADDRESS <br />EVERETT MALL 01 LLC 1113440 VENT JRA BLVD STE 200 - - - SHERMAN OAKS, CA 91423 <br />Owner Mail Address City State/zip Phone <br />Any Lab Test Now, 1205 SE EVERETT MALL WAY, Everett, WA <br />Tenant Mail Address City State/Zip Pr„ui <br />BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett, WA 98203 425-776-8835 <br />Electrical Contractor Mail Address City State/Zip <br />BERRYNC0851_3 Y 2 t <br />State License Number Contract Price of Work <br />Commerical Tracie Skiles <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: INSTALL 1 lit Wall sign <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined th is application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions ofanyother stateor local la w regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to erform the <br />work for which application is made and I comply with the State Cont ractors Law 18T RCW and <br />296.200 WAC . <br />Signature Date <br />