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� PERMIT aPPLICATION <br /> I CITY OF EVERETT PFRMIT SERVICES <br /> 3200 CEDAR STREET, �VERETT, WA �8201 <br /> 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� �-Q 7—D� <br /> SITE ADDRESS PARCEL TAX I.D. k P RMIT � <br /> 2201 36th St., Everett 00602700i00402 -Cj� <br /> LEGAL LOT NO. 6LOCK TRACT OR SUBDIVISION k <br /> uesc. seeattached <br /> OWNER �DDRC55 UTY21P PHONE <br /> Thurman Industries Inc., PO Box 12750, R4ill Creek,WA 98082 <br /> TENANT NAM[ CONTACI fOR PEHMIT PHONE QZS-��6-HH3S <br /> Prospector Liquidation Tracie Skiles newpermitsaberryneonsigns.com <br /> E-MhIL <br /> COMHACTOF �DDRESS CIIY2IP PHONE <br /> BFRRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett,WA 95203 425-776-8835 <br /> con�Ta. uceNse fi BERRRYNC077CM <br /> USE OF 6UILDING FIEAT SOURCE I CONTRACT PRICE OF V�iORK <br /> COMMERICAL Electric __ Gas ___ other $48,795.00 <br /> WORK DESCRIPTION <br /> INSTALL 1 DOUBLE FACED PYLON SIGN (Z� L z�' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURC OR !TEM NO. TYPE OF FIXTURE OR ITE�A <br /> ll] ,�_ Toilet _ _ A/C - air handling uni[s <br /> Oathtub Forced air systems <br /> Lavarory (wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink& disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clotlies dryer <br /> ____ Warer heater Ran9e hood <br /> Sinklservlce/bar/mop/etc.) � Exhaustfan <br /> ___ 6ackFlow preventer Heat pump <br /> Urinal Unit heater <br /> � ___ Drinking FounG�in =_= Boiler <br /> Floor drain Refriyeration <br /> i___ Greasetrap WoodstovP <br /> --- <br /> Roofdrainz � Other_____________.__ <br /> -- <br /> --- O�her ----___-------.. <br /> ; — '� --- ----------------- <br /> � <br /> CITY OP EVER[TT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I havr: read and examined this applica[ion and know the same to be true and correct All provisions of laws and <br /> ordinaces governin9 this rype of�vork will be complied with whether specified herein or not The granting of a permit does not presume <br /> to 9ive authoriry to violate or cancel the provision of any otl+.er state or local law regulaung constructlon or the performance of <br /> cons.ruction. That I am authorized by the owner of thi, properry to perform the work (�r vihich appiication is made and I comply wiUi the <br /> Sta e{ ntracrors Law 18.27 RCW and 29G.200lyAC. _ � . <br /> ,, ' , /�_ , L�L � �, <br /> , ti iqn n m f 7wne'r/ConlractodFlulhorized A i t Date � <br /> lZ <br /> - _-— -- --- I <br />