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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 /> 515 SE Everett Mall Way <br /> PROJECT ADDRESS <br /> Greetree Plaza LLC 12411 Ventura Blvd Studio City CA/91604 <br /> Owner Mail Address City State/Zip Phone <br /> Chipotle site address <br /> Tenant Mail Address City State/Zip Phone <br /> TubeArt 11715 SE 5th St Bellevue WA/98005 206 264 2954 <br /> Electrical Contractor Mail Address City Mate/Zip Phone <br /> TUBEAD111ONH I $100 <br /> State License Number ontract P ce of Work <br /> Shawn Bowen <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Install 2 wall signs <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I 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 granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the E <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and v <br /> 296.200 WAC. <br /> Sign re Date <br /> REVISED 3120/13 <br />