906 SE EVERETT MALL WAY ALTIERUS CAREER COLLEGE 2018-05-16

ELECTRICAL PERMIT APPLICATION 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�ecTa�oREss: 906 S.E EVERETT MALL WAY BUILDING AREA(if residential, new construction, remodei,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 NEW SINGLE FACE ILLUMINATED WALL SIGN, CONNECT TO EXISTING SIGN CIRCUIT (FROM PREVIOUS SIGN). CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): ALTIERUS CAREER COLLEGE OWNER MAILING ADDRESS: sTrzEET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: coNrt�,aCroR NaME: NATIONAL SIGN CORPORATION CONTRACTOR ADDRESS: srReer 1255 WESTLAKE AVE N cin. SEATTLE srnTE WA Z,P 98109 CONTRACTOR PHONE: 206-282-0700 CONTRACTOR EMAIL: St@V@Z p�f18tIOIl81SIgflCOfp.00111 coNTRa,croR uc.#�REQu�REo>: NATIOSC031 M3 CITY OF EVERETT BUSINESS LIC.#(RECIUIRED): 0O3OOF) PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2O6-ZSZ-O700 STEVE ZAMBERLIN coNTacT eMa,i�: 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 type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority fo 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 is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# �1�,� E � D��2�� OwnerlAuthorize� e t S nature Date (Revised 9/23/2016)