10121 EVERGREEN WAY ESC MATTRESS 2018-05-15

E�CTRICAL PERMIT AP�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 a�uREss: 10121 Evergreen Way#30 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 volta e : 2 FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if applicable : DESCRIPTION OF WORK: Install 2 lit wall signs CGNTACT INFORMATION ' OWNER NAME: ESC Mattf@SS Ce11teP TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s�aEeT 10121 Evergreen Way#30 �,TM Everett STATE WA ziP 98204 OWNER PHONE: OWNER EMAIL: _ _ _ _ __ _ _ CONTRACTOR NAME: Bel'1�/$1g11 S�/Ste111S CONTRACTOR ADDRESS: s,�E�7400 Hardeson Rd c,n Everett STATE WA ziP 98203 CONTRACTOR PHONE: 425.776.8835 coNT�►c-roR ennai�: tracies@berrysignsystems.00111 CONTRACTOR LIC.#(REQUIRED): berrYSS853W7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 24786 PRIMARY CONTACT: ❑OWNER QJ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 x 114 T1'aCl@ SI(II@S CONTACT EMAIL:tracies@berrysignsystems.com AGREEMENT.•1 hereby certify that 1 have read and examined fhis application and know the same to be true and correct. All provisions of/aws and ordinances goveming this fype of work will be comp/eted 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. Thaf/am authorized by the owner of this property to perform the work for which application is made and 1 comp/y with fhe State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett O�cia/Use On/y PERMIT# � C E � �Zl� 1 Owner ri e Age re Date (Revised 9/23/2016)