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4raerr 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: 13110 Bothell Everett Hwy Everett, WA 98208 <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: ® COMMERCIAL <br /> USE OF BUILDING: Retail <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ $150.00 <br /> NUMBER OF DEVICES (if low voltage): 2 <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): S1711-904 <br /> DESCRIPTION OF WORK: Connect signs to existing electrical. <br /> CONTACT INFORMATION <br /> OWNER NAME:Everett Ill LLC TENANT NAME(If Commercial): Walgreens <br /> OWNER MAILING ADDRESS: STREET 13110 19th Ave SE <br /> ern, Everett STATE WA z,F 98208 <br /> OWNER PHONE: 253-922-2146 OWNER EMAIL:kers@signtechelectric.com <br /> CONTRACTOR NAME: Sign-Tech Electric, LLC <br /> CONTRACTOR ADDRESS: STREET 5113 Pacific Hwy E # 7 <br /> c,r Fife STATE WA ZIP 98424 <br /> CONTRACTOR PHONE: 253-922-2145CONTRACTOR EMAIL: kers@ sig ntechelectric.com <br /> CONTRACTORLIC.#(REQUIRED): SIGNTEL988BG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):034625 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) _ <br /> CONTACT NAME: CONTACT PHONE: 253-922-2146 <br /> Keri CONTACT EMAIL:keri@signtechelectric.com <br /> AGREEMENT:I hereby certify that!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 taw 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 Oficial Use Only <br /> /j/ <br /> PERMIT# <br /> 7 /) t- �� ,' � �- � E \-112,- 1Own /Authofizgent Signature Dae (Revised 9/23/2016) <br />