Laserfiche WebLink
�CTRICAL PERMIT AP CATION <br /> CITY OF EVERETT PERMIT SER S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PRo�ecr ao�REss: 5704 Evergreen Way Suite D, Everett, WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: � COMMERCIAL <br /> USE OF BUILDING: R@tall <br /> ELECT AL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 40 . 8 (including the price of the sign) Z <br /> NUMBER OF DEVICES (if low voltage): � <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> �EscRIPT�oN oF woRK: Installation of illuminated channel letter sign to front facade of building. Sign is 12 volt <br /> DC LED illuminated, supplied by a 120 Volt AC/20 Amp dedicated circuit- existing. <br /> CONTACT INFORMATION <br /> OWNER NAME: HUR PI"Ope1'�IeS LLC TENANT NAME(If Commercial): BIUe Sky Spa <br /> OWNER MAILING ADDRESS: sTReer 7100 Evergreen Way, Suite A <br /> ciN Everett STATE WA ziP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: NW SIgnS <br /> CONTRACTOR ADDRESS: srReer �72O'I BG'atOtl RCI. SE <br /> cin. Monroe STATE �NA ziP 98272 <br /> CONTRACTOR PHONE: 425-844-6415 CONTRACTOR EMAIL: �ert�/@NWSIgnS.COt71 <br /> CONTRACTOR LIC.#(REQUIRED): NWSIGS*84201 CITY OF EVERETT BUSINESS LIC.#(REQU E��: 053987 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-844-6415 X07 <br /> .J@C'C'�/AUStIn CONTACT EMAIL: �erry@NWSIgt1S.0011'1 <br /> AGREEMENT:1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whefher specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the p�ovisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply wifh the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E 1�0`� -- o�� <br /> w er/Authori ent Signature Date (Revised 9/23/2016) <br />