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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I�S"'�' � 5�- <br /> 12902 Bfl�-F1�LL=€1tEf�f�Tf11111�E <br /> PROJECT ADDRESS <br /> LEE NORTHWEST INVESTMENT INC �� 4758 229TH PL SE --- ISSAQUAH,WA 98029 <br /> Owner Mail Address City State/Zip Phone <br /> Vibe Dance Studio 12902 BOTHELL-EVERETT HW SE, Everett,WA <br /> Tenant Mail Address City State/Zip Phone <br /> BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett,WA 98203 425-776-8835 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> BERRYNC085L3 ��!�(� " <br /> State License Number Contract Price of Work <br /> Commerical Tracie Skiles <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: INSTALL 3 Ilt Wall SIgl1 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> ,._' �-•��7_ �,,, ,� <br /> i hereby certify that I have read and examined th is application and know the same to be true and ' ._�� U�' 7 -->t- <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 <br /> violate or cancel the provisions of any other state or local la w regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Cont ractors Law 18.27 RCW and <br /> 296�0 WAC . <br /> / � r <br /> 1 , �y <br /> Siqn ure Date <br />