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LLECTRICAL PERMIT ALICATION
<br /> 'Ild----.A
<br /> - CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 9220 Evergreen Way Everett WA 98204
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: l 1 COMMERCIAL
<br /> USE OF BUILDING:
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<br /> CONTRACT PRICE OF WORK: $• 100
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? 0 YES 0 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): n/a
<br /> DESCRIPTION OF WORK: Retrofit sign for LED lighting
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<br /> OWNER NAME: Mark McCrum TENANT NAME(If Commercial): Godfather Pawn
<br /> OWNER MAILING ADDRESS: STREET 9220 Evergreen Way
<br /> c,T,, Everett STATE WA ZIP 98204
<br /> OWNER PHONE: 425-417-6963 OWNER EMAIL: markm.godfatherpawn@gmail.com
<br /> CONTRACTOR NAME: Berry Sign Systems
<br /> CONTRACTOR ADDRESS: STREET 7400 Hardeson Rd
<br /> c,,,, Everett STATE WA ZIP 98203
<br /> CONTRACTOR PHONE: 425-776-8835 X114 CONTRACTOR EMAIL: tracies@berrysignsystems.com
<br /> CONTRACTOR LIC.#(REQUIRED): berryss853w7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 24786
<br /> PRIMARY CONTACT: 0 OWNER IZl CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-776-8835 X114
<br /> Tracie Skiles CONTACT EMAIL:tracies@berrysignsystems.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 governing this type
<br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or
<br /> 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
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> \ PERMIT#
<br /> E 1-15
<br /> Owner/ ed Agent Signature Date (Revised 9/23/2016)
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