15 SW EVERETT MALL WAY VIDA HEALTH 2018-05-21

E�C L TRICAL 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 4 - _ - ": #►R�.fB�T'::$tTB:.t��1�.,. __ - = PROJECT ADDRESS: 15 SW Everett Mall Wa Everett,WA 98204 BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATfACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ■ COMMERCIAL USE OF BUILDING: Commercial - - E�.ECTRtCAL 14P1'�LI��T�y�f 1N�ClRIV�Y�k"�IQN -- CONTRACT PRICE OF WORK:$ $3,000 NUMBER OF DEVICES if low volta e : � FIRE ALARM? � YES ❑ NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: Illuminated Aluminum Channel Letters w/Translucent Vinyl , CONTACT 1N�#)RMk7`i�N OWNER NAME: Vick McDermott TENANT NAME(If Commercial): Vldd Int2 rated Health OWNER MAILING ADDRESS: s-rReeT PO BOX 5003 cirr Bellevue STATE WA z�P 98009-5003 OWNER PHONE: 425.289.2234 OWNER EMAIL: vickym@rosenproperties.com CONTRACTOR NAME: Advanced Si n and Lighting CONTRACTOR ADDRESS: STREET 1 37th St.NW cirr Auburn STATE WA vP 98001 CONTRACTOR PHON�: (253) 347-5039 coNrRAcroR EnnAl�: asl.taylor j@gmail.com coNT�►cTort�ic.#�REQuiReo�: ADVANSL923DP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): _.. _ _ . ., _._ _ _ _ . PRIMARY CONTAGT: � OWNER ■ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253.243.7777 Lee Bombacie CONTACT EMAIL: (ee.bombacie@shineonsigns.com AGREEMENT.•I herebycertify that/have read and examined this application and know the same to be true and correct. Alt provisions of/aws and ordinances goveming this type of work will be comp/eted whether specified herein or not. The granting of a permit do�s not presume to give authorrly to violate or cance/the provisions of any other state or local law regu/ating consfruction or the performance of construction. That I am authorized by the owner of this proper(y to perform the work for which applica6on is made and f compfy with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett O�cial Use On/y � PERM�T# 11.29.2016 � �j � t� Ul� ( Owner/Author' Age t Si ture Date (Revised 9/23/2016)