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, , <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES a _� /b <br /> 3200 CEDAR STREET, EVEREl7,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org C/DO Z-�-�6Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 12728 Bothell Everett Hwy {19th) <br /> PROJECT ADDRE55 <br /> BUIL�EfiS INVESTMENT GROUP LLC �� 12728 BOTHELL FVERETT HWY---EVERETT,WA 98208 <br /> Owner MailAddress City Sta�e/Zip Phone <br /> PNW Professional Center 12728 BOTHELL EVERETT HWY--- EVERETT,WA 98208 <br /> Tenanl Mail Address City State2ip Phone <br /> BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett,WA 98203 425-776-8835 <br /> Electrical Convacror Mall Address Ciry S�ate/Zip Phone <br /> BERRYNC085L3 � �(�,(r <br /> State License Number Contract Price of Work <br /> Commericai Tracie S�iles <br /> Proposed Use of Buildin9 Contact Person (Plan Review) <br /> oe:«��uor,ofwo�k io ee oo��: Add on to existing sign base, adding illuminated freestanding sign <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> Q�Y OF EVER[TT LOCAL SALES TAX CODE IS 3105 \; � <br /> �' �lC� c_ - ���. <br /> I hereby ceiGf/that I have read�nd examined th is application and know the same to be true and � <br /> correct. All pre��isions of laws and ordinances 9oveming this type of work will be completed <br /> �.vhether specified herein or noL Th:gran[ing of a permit does not presume to give authonry to <br /> viai.a[e or cancel tiie provisions of any oUier state or bcal la w regulating construction or the <br /> perforniance o(construclion. That I am au[horizr.d by the ewner of this property to perform the <br /> �vork for,�vhich applicatiun is made and I comply witfi the State Cont ractoa law 1817 RCW and <br /> 296.20y�� C . <br /> 7 <br /> ��il � �l�%v <br /> Signaiurp Date <br /> I <br />