3713 BROADWAY 2017-09-08 - Laserfiche WebLink

A ECTRICAL PERMIT AFOLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3713 Broadway BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 100.00 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: Install one wall sign CONTACT INFORMATION OWNER NAME: Dente Bakery TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET 3713 Broadway CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Berry Sign Systems CONTRACTOR ADDRESS: STREET 7400 Hardeson Rd CITY Everett STATE WA z,P 98203 CONTRACTOR PHONE: 425.776.8835 CONTRACTOR EMAIL: traCleS@berrySlgnsystems.Com CONTRACTOR LIC.#(REQUIRED): berryss853w7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 24786 PRIMARY CONTACT: ❑ OWNER 10 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 X 114 Tracie Skiles CONTACT EMAIL: traCles@berryslgnsystems.Com AGREEMENT:1 hereby 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/am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature bate (Revised 9/23/2016)