20 SW EVERETT MALL WAY WESTRA SPORTS 2018-05-15

E,�:��CTRICAL PERMIT API 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 PROJECT ADDRESS: 2O SW EV@1'@tt MaII Wc'��/ 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 : 2 FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Install � lit wall signs CONTACT INFORMATION OWNER NAME: Westra Sports TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT 20 SW Everett Mall Way �,T„ Everett STATE WA ziP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Bel"ry Slgn SyStemS coNrRacroR a�oREss: STREET 7400 Hardeson Rd cin, Everett STATE �NA ziP 98203 CONTRACTOR PHONE: 425.776.8835 CONTRACTOR EMAIL: traCl@S@b@1'1")/SIgIISySt@CiIS.COCTI CONTRACTOR LIC.#(REqUIRED): beC�/SSH53W7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 247H6 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 X 114 Tracie Skiles coNTACT eM�v�: tracies@berrysignsystems.com AGREEMENT:1 hereby certify that 1 have read and examined this applicafion 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 by the owner of this property to pertorm 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 Official Use Only ,'1 PERMIT# i, � —_ /�� "1 % ��' -- � �� ,� '�� • - Own / t 'rized Ag Signature Date (Revised 9/23/2016)