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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.gov <br />1315 Pacific Ave <br />PROJECT ADDRESS <br />Allied Residential 221 Wells Ave S#200 Renton, WA 98057 425.226.5150 <br />Owner Mail Address City State/Zip <br />Potala Village 1315 Pacific Ave, Everett, WA 98201 425.256.51 SO <br />Tenant Mail Address City State/Zip <br />Berry Sign Systems 7400 Hardeson Rd, Everett, WA 982038 425.776.8835 <br />Electrical Contractor Mail Address City StatelZip <br />berr�s853w7 <br />State License Number (required) <br />commerical <br />Proposed Use of Building <br />Phone <br />Phone <br />Phone <br />024786 <br />City of Everett Business License Number (required) <br />$100.00 <br />Contract Price of Work <br />Tracie Skiles - tracies@berrysignsystems.com <br />Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br />1 <br />Number of devices (If low voltage) <br />Description ot work to Be Done: Install 1 wall directions under 4sqft <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this 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 granfing of a permit does not presume to give aufhority to <br />violafe or cancel fhe provisions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this property to perform fhe <br />work for which application is made and 1 comply with fhe State Confractors Law 18.27 RCW and <br />296.2p0 WAC. r� <br />�ir��l %�l ) _._ <br />gn <br />REVISED 08/06/2014 <br />FEE <br />���.�� <br />PERMIT# <br />E I�l I ' � ��� <br />