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'111° A <br /> ELECTRICAL PERMIT APPLICATION <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 <br /> PROJECT SITE INFORMATION; <br /> PROJECT ADDRESS: 851 N Broadway <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: El COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION.; <br /> CONTRACT PRICE OF WORK: $ 100.00 <br /> NUMBER OF DEVICES(if low voltage): 1 <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install 2 wall signs <br /> CONTACT INFORMATIOlt1, <br /> OWNER NAME: Subway TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 851 N Broadway <br /> c,Tr Everett STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Berry Sign Systems <br /> CONTRACTOR ADDRESS: STREET 7400 Hardeson Rd <br /> cnY Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE: 425.776.8835 CONTRACTOR EMAIL: tracies@berrysignsystemS.com <br /> CONTRACTOR LIC.#(REQUIRED): berryss853w7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 24786 <br /> PRIMARY CONTACT: 0 OWNER Vi CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.776.8835 x 114 <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 1 am authorized by the owner of this property to perform the work for which application is made and <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 r-ld-�� I <br /> Own r/•uthorlz•-• •gent Signature ate (Revised 9/23/2016) <br />