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ELECTRICAL PERMIT APPLICATION <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 Tp 4 PM <br />910 SE EVERETT MALL WAY <br />PROJECI ADDRE55 <br />RAND'S 910 CENTER LLC II PO BOX 873 --- FREELAND, WA 98249 <br />Owner <br />Mail Add�esz <br />Spa Dolche 910 SE EVERETT MALL WAY , Everett, WA <br />Tenant <br />Mdil Address <br />Cily <br />City <br />BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett, WA 98203 <br />ElectricalContractor Mailnddress <br />[iERRYNC085L3 <br />State License Number <br />Commerical <br />Proposed Use of Bi <br />Descriptien of Work to ae Done: INSTALL 1 Ilt wdll <br />NOTE: WIRING IN NON-CWELLING515 REQUIREDTO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CIT'! OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />�p l6-� <br />C o9/a�o`� 8 <br />Slaie/Zip <br />State/Zip <br />425-776-8835 <br />StateRip <br />$ � 0�.0� <br />Contract Price of Work <br />Tracie Skiles <br />Contact Peaon (Plan Review) <br />I hereby certify that I have read and examined th is application and know the same to be true and <br />mrrect All pmvisions of laws and ordinances 9oveming this rype of work will be complered <br />whether specihed herein or not. The 9ranting of a permit does not presume to 9ive authonty to <br />violate or cancel the provisions of any other state or local la w regulatin9 construction or the <br />performance of construclion. That I am authorized by the owner of this properry to perform the <br />work for whidi application is made and I comply witli the State Cont ractors Law 1817 RCW and <br />,,.�,.,�,.,�� . <br />FEE <br />��irC�� �R� <br />Phone <br />Phone <br />Phone <br />