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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 5 ��s'��J <br /> 3200 CEDAR STREET,EVERETT,WA 98'LO7 (�%J/O}�'"��L <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1<1=' /k�e S�- <br /> 12728 Bet�teH-EverettHwY�} <br /> PROJECT ADDRE55 <br /> BUILDERS INVESTMENT GROUP LLC �� 12728 BOTHELL EVERETT HWY --- EVERETT,WA 98208 <br /> Owner <br /> Mail Addmss City State/Zip Phone <br /> UW Medicine/NW Hos ital 12728 BOTHELL EVERETT HWY---EVERETT,WA 98208 <br /> Tenant <br /> MailAddress Ciry State/Zip Phone <br /> BERRY NEON SIGN SYSTEMS 7400 Hardes�n Rd, Everett,WA 98203 425-776-8835 <br /> Electrical Contracror <br /> MailAddress City State/Zip Phone <br /> BERRYNC085L3 -'— /nn J <br /> State License Number Contract Price of Work <br /> Commericai Tracie Skiles <br /> Proposed Use oi Building Contact Person (�lan Review) <br /> Description of Work to Be Done: � ` � � " `w/ � � (�'`/ �� ' <br /> � <br /> � FEE <br /> NOTE: WIRING IN NON-DWELLING515 REQUIREDTO � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SAL[S TAX CODE IS 3105 � L� <br /> I hereby certi(y that I have read and examined th is application and know the same to be true and . <br /> � lo� I �Z <br /> cortect. �II provisions of laws and ordinances 9ovemin9 this type of work will be completed <br /> whether speafied herein or not. The granting ot a permit does not presume to 9ive authonty ro , <br /> violate or cancel the provisions of any other state or local la w regulating consvuc[ion or the � <br /> performance o(construction. That I am authorized by the owner o( this property m perform the <br /> work(or which application is made and I comply with the State Cont rac[ors Law 18.27 RCW and <br /> 296.200 W!`C • n <br /> i �'.l �� `� � � �/�/ <br /> � ����„�,���� <br /> �,�� <br />