1515 132ND ST SE MURPHYS CORNER MOBIL 2021-08-18

tLECTRICAL PERMIT A41bcATI®N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1515 132nd St E, Everett WA 98012 ?arr el#?005300040650(! BUILDING AREA(if residential, new construction,remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: Cl COMMERCIAL USE OF BUILDING: i`Jiobil Gas Station ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 20,000.00 NUMBER OF DEVICES (if low voltage): 2 - 60w 12v LED drivers for Mobil Wall signs. FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: 1616" Hew Ltu iilulniliaied Mobil canopy signs(1 on East& 1 on West canopy elevations)to existing electrical(ircuit: CONTACT INFORMATION OWNER NAME: Mccarthy/A{i{i/Boswell MITI Creek LLC TENANT NAME(If Commercial): Murphy Corner Mobil OWNER MAILING ADDRESS: STREET 406 Boston Streei c,Ty Seattle STATE WA Z,P 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Insignia Sign Inc CONTRACTOR ADDRESS: STREET PO BOX 2849 CITY Renton STATE WA ZIP CONTRACTOR PHONE: !425)917-2109 1CONTRACTOR EMAIL: steven(CDinsigniasign.cori CONTRACTOR LIC.#(REQUIRED): INSIGSI0551CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 06yoz�?C PRIMARY CONTACT: ❑ OWNER I_1 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)917-2109 ..,-..,.,jn @ Insignia Sign Inc. CONTACT EMAIL: steven@inslgniaslgn.com AGREEMENT.Thereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and F comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Steuen �Lia�srla�> (Contra(tor &Agent) 01/21/16 E Owner/Authorized Agent Signature Date (Revised 10/12/2015)