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ELECTRICAL PERMIT APPLICATItJN <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 /> 4830 Evergreen Way, Everett, WA 98203 <br /> PROJECT ADDRESS <br /> Emerals City Pizza 12121 Harbour Reach Dr#200, Mukilteo, WA 98275 425.493.8077 <br /> Owner Mail Address City State/Zip Phone <br /> Pizza Hut 4830 Evergreen Way, Everett, WA 98203 425.259.2500 <br /> Tenant Mail Address City State/Zip Phone <br /> O'Sage Signs LLC 15107 50th Ave E, Tacoma, WA 98446 206.396.1036 <br /> Electrical ContraCtor Mail Address City State/Zip Phone <br /> OSAGESL8805A �'`��"�-" � �- �� <br /> State License Number(required) ' of E rett Business License Number(required) <br /> Restaraunt 2000 <br /> Proposed Use of Building Contract rice of Work <br /> Ken O'Sage, 206.396.1036, osagesigns@hotmail.com <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Remove 2 wall Signs, Install 2 wall signs, Reface 1 monument <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �/� �_ <br /> lJ <br /> l hereby certify that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions of/aws and ordinances governing this type of work will be completed <br /> whether speci5ed herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cance/the provisions of any other state or loca!law regulating construcfion or the /'� <br /> performance of construction. That l am authorized by the owner of this property to perform the E � �l'� �D� <br /> work for which application is made and I comp/y with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> T=an. /� <br /> � � d // / <br /> ignature D te <br /> REVISED 08/06/2014 <br />