2811 COLBY AVE 2018-01-08 - Laserfiche WebLink

� • ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: ZH�� COIby AVe BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 100.00 NUMBER OF DEVICES (if low voltage): � FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if applicable : DESCRIPTION OF WORK: Install 1 lit wall signs CONTACT INFORMATION OWNER NAME: MaJOf LeagUe PIZZB TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReEr 2811 Colby Ave cin. Everett STATE WA ziP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: B@CY)/Slgfl SySt@IIIS coNTw�cTOR AooREss: S,�EET 7400 Hardeson Rd �,,,, Everett STATE WA Z,P 98203 CONTRACTOR PHONE: 425.776.8835 CONTRACTOR EMAIL: t�BCIeS G�beC'P')/SIgIISySt@Il1S.COC1'1 CONTRACTOR LIC.#(REQUIRED): berrySSH53W7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 247H6 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 X 1 14 Tracie Skiles coNTAcr eMAi�:tracies@berrysignsystems.com AGREEMENT:1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming 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 1 am authorized 6y the owner of this properfy to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett O�cial Use Only PERMIT# �. E �i ��' `�`� Ow r/ tFy6ri d gent ig ure� te (Revised 9/23/2016J �