909 SE EVERETT MALL WAY BAKERY OUTLET 2018-05-14

�LECTRICAL PERMIT AP�ICATION � 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 PRo�ECTa��Ress: 909 SE EVERETT MALL WAY SUITE 420 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: $ 250.00 NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DEscRIPTION OF WORK: INSTALL ONE SINGLE FACE ILLUMINATED WALL SIGN DISPLAY CONTACT INFORMATION owNER NAME: BAKERY OUTLET TENANT NAME(If Commercial): BAKERY OUTLET OWNER MAILING ADDRESS: sTREEr 909 SE EVERETT MALL WAY cin. EVERETT STATE WA ZiP 98203 OWNER PHONE: OWNER EMAIL: coNTRacTOR Nanne: NATIONAL SIGN CORP CONTRACTOR ADDRESS: srReer 1255 WESTLAKE AVE N c,N SEATTLE STATE WA z�P 98109 CONTRACTOR PHONE: (206) 282-0700 coNTw�cTOR EM,ai�: STEVEZ@NATIONALSIGNCORP.COM coNTRACTOR uc.#�REQuiRE�>: NATIOSC031 M3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 003006 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (206) 282-0700 STEVE ZAMBERLIN coNT,acT EMA��: STEVEZ@NATIONALSIGNCORP.COM AGREEMENT.I hereby certify that I have read and examined this application and know the same to be frue and conect. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The g�anting of a permit does not presume to give authority to violate or cancel the p�ovisions of any other state or local law regulating construction or the pertormance of construction. That I am authorized by the owner of this property to pertorm the work for which application is made and 1 comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# E � ;� -, , _,� �) :� ;, . � . � , OwnerlAuthor' ed A nt ignature Dat (Revised 9/23/2016)