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L�LECTRICAL PERMIT A�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everetiwa.gov/permits <br /> t � `{r�.' C .�r -, '� ,-; '*3*� ,.�.. '�`f'�s `� ! �� �:',S ��`�.'�� �'''?"�;'-�Y�#Y. �` . �" ,. ',;.4 �` "..�,. <br /> 4 <br /> �� .,a ^� .sf s - � � -x G�.A ����.�� � .� .:.:%;�^: ,::,�",...up „E."�'x �� <br /> PRo�ecT aooRess: 7601 Evergreen Way <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATfACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: <br /> ' �ELECTRICAL A�P�.I�AT`�01+1�NFO�R�IiIA��ION � <br /> ,s, .sr iP. z,��s .�i� .�;.�� <br /> CONTRACT PRICE OF WORK: $ 100.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: install 4 wall signs and change out price faces on monument sign <br /> �; � � = � ; # ,; '; C�NTA�T 1.1�IF�.�tMAT10N �`;; , ^: � ' � <br /> OWNER NAME: S8feW8y TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7601 Evergreen Way <br /> �,T,. Everett ST,,,� WA ziP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> coNTw►cTOR Nanne: Berry Sign Systems <br /> coNTw�cTOR ao�REss: S,�EET 7400 Hardeson Rd <br /> �„Y Everett STATE �NA ziP 98203 <br /> CONTRACTOR PHONE: 425.776.8835 CONTRACTOR EMAIL: tracies@berrysignsystems.com <br /> CONTRACTOR LIC.#(REQUIRED): beCl'�/SS$�J3W7 CITY OF EVERETT BUSINESS LIC.#(REG2UIRED): 24786 <br /> PRIMARY CONTACT: ❑'OWNER m CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.776.8835 x 114 <br /> TraCie Skiles coNTacr eM�v�:tracies@berrysignsystems.com <br /> AGREEMENT.•l hereby certify that I have read and examined this application and know the same to 6e true and correct. All provisions of/aws and ordinances goveming this type <br /> of work wilf be comp/efed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance/the provisions of any other state or <br /> local law regulaSng conshuction 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 /> comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use Only <br /> PERMIT# <br /> � EI�� I �2�5 <br /> r/A orized qgent Signature Date (Revised 9/23/2016) <br />