7601 EVERGREEN WAY HEAR USA 2018-05-15

LLECTRICAL PERMIT AF'r�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�ECT aooRess: 7601 EVERGREEN WAY B005A EVERETT WA 98203 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: HEAR USA TENANT NAME(If Commercial): HEAR USA OWNER MAILING ADDRESS: srReer 7601 EVERGREEN WAY SUITE 6005A ci�. EVERETT sTATE WA ziP 98203 OWNER PHONE: OWNER EMAIL: corvTRacTOR NAnnE: NATIONAL SIGN CORP CONTRACTOR ADDRESS: sTREEr 1255 WESTLAKE AVE N c,T., SEATTLE STATE WA Z,P 98109 CONTRACTOR PHONE: (206) 282-0700 coNTR,acTOR ennai�: STEVEZ@NATIONALSIGNCORP.COM coNrRacTOR uc.#�REQuiREo�: 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 coNTACT eMA��: STEVEZ@NATIONALSIGNCORP.COM AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this rype of work will be completed whether specified herein or not. The granfing 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 I am authorized by the owner of this property to perform the work for which application fs made and 1 comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. � City of Everett Official Use Only PERMIT# 3-Z -� E � �1 � 3 ;' � �� � � ; � Owner/Au ori ent Signature Date (Revised 9/23/2016)