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�ECTRICAL PERMIT � 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.everettwa.gov/permits <br /> x_ __ _. _ PROJECT�S1TE'�:IN�#3RMA'TtOAI..-. :__ ,, � , _ . . <br /> PROJECT ADDRESS: 1205 SE Everett Mall Way Suite C Everett, WA 48208 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) �222 SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ■ COMMERCIAL <br /> USE OF BUILDING: CommerClal/Retal) <br /> ELE�TRICAL APPLM�ATION INFC#RM�A;'T'1�31N;,. = <br /> CONTRACT PRICE OF WORK: $ 4,250 <br /> NUMBER OF DEVICES if low volta e): 1 <br /> FIRE ALARM? ■ YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Front Lit Illuminated .{?b3 Alu'minum Channel Letters with Translucent Vin I <br /> {Black, Red, White) <br /> C�3NTACT IN�t�RMAT�ON <br /> OWNER NAME: ACF Pro erty Management, (nc TENANT NAME(If Commercial): Sharon .letton <br /> OWNER MAILING ADDRESS: sTReeT 12411 Ventura Boulevard <br /> c,n Studio City STATE CA Z,P 916Q4 <br /> OWNER PHONE: (5Q3) 222-5"I OO OWNER EMAIL: sjetton@acfpm.com <br /> CONTRACTOR NAME: Advanced Si n and Li htin <br /> CONTRACTOR ADDRESS: STREET 1 37th St. NW <br /> cin Auburn sTATE WA Z1P 98001 <br /> CONTRACTOR PHONE: (253) 34�-SO39 CONTRACTOR EMAIL: asl.taylor,j@gmail.com <br /> coNTt�croR uc.#�REQuiRE��: ADVANSL923DP CITY OF EVERETT BUSINESS LIC.#(REQU ED) <br /> PRIMARY CONTACT: ❑ OWNER ■ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: ZS3.243.7��7 <br /> Lee Bombacie <br /> CONTACT EMAIL: lee.bombacie@shineonsigns.com <br /> 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 goveming this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authonty to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# ' <br /> r... ��- �'' 2.21.Zfl�� E I�� — L S� <br /> ���� '�.r� <br /> Owner/AuNt'" 'ied Agent Signature Date (Revised 9/23/2016) <br />