3900 BROADWAY BASE FILE 2018-04-19

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 ��y��, � �� , �,�y, �, 'PRO�JECTx51TE I�1 R�17'IOM`� �� . £ '��,_, .k�� ;..�- � „ ��.� .<. PRo�ecr ao�Ress: 3900 Broadway 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 APPLICATI�N�INFORMATION - CONTRACT PRICE OF WORK:$ 100.00 NUMBER OF DEVICES if low volta e : 2 FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: Install 2 (it wall signs ' �� : � � ' � �� " CON�ACT INFOi�11AAT;�iQN. ; .: , ; OWNER NAME: Everett Public Schools TENANT NAME If Commercial : OWNER MAILING ADDRESS: STREET 3900 Broadway �,T,, Everett STATE WA zia 98203 OWNER PHONE: OWNER EMAIL: coNrixacToa N�nne: Berry Sign Systems coNTw4cTOR aooRess: S�EET 7400 Hardeson Rd �,TM Everett srn� WA ziP 98203 CONTRACTOR PHONE: 425.776.8835 CONTRACTOR EMAIL: tracies@berrysignsystems.com CONTRACTOR LIC.#(REQUIRED): berrYSSH�J3W7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 24'7H6 PRIMARY CONTACT: ❑OWNER ��CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 x 114 Tracie Skiles coNTacr eM�v�:tracies@berrysignsystems.com AGREEMENT.•I hereby certify that I have read and examined this application and know the same to beYrue and correct All provisions of laws and ordinances goveming this type of work will be comp/eted whether specified herein or not. The granfing of a permit dces nof p2sume to give authority fo vio/ate or cance/the provisions of any other state or local law regu/ating consbuction or ihe performance of constrvction. That I am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett�cia/Use Only PERMIT# E i� o� � � a3 Owne uthorized Ag nt Signature Date (Revised 9/23/2016)