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� PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTEDFROMfiAMT04PM � � �'f� �� <br /> SITE ADDRE55 PARCEL TAX I.D. tl PER�AIT k <br /> 1052019TH Ave SW 00575200201801 C) - <br /> LEGHL LOT NO. RLOCK TRACT Ofl SUBDIVISIONl1 <br /> DE SC. 522 dtYdCI12CI <br /> OWNER ADDRESS CITY2IP PHONE <br /> JMHLS LLC �� PO BOX 467---MARYSVILLE,WA 98270 <br /> TENANT NAME CONTACT FOR PERMIT PHONE 425-776-8835 <br /> Coastal Community Bank Tracie Skiles newpermitz��berryneonsiyns.com <br /> E-MAIL <br /> CONiNAC��OR ADDRE55 CITY2IP PHONE <br /> BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett,WA 98203 425-776-8835 <br /> coNrrs. ucer+se a BERRRYNC077CM <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> COMMERICAL E lectric ___Gas ___ other <br /> S�so:�a. ��/� <br /> WORK DESCRIPTION <br /> INSTALL 1 15'-7 3/4"x 3'-1"logo panel and cut out PVC non-lit letters <br /> remove existing circle (20sqft, plus awning)and install 1 2'-6"x 8'-1"two sided lit cabiet,and <br /> 1 3'0"x 3'-1"two sided lit sign cabinet <br /> PLUMBING MECHANICAL <br /> Ni1. TYPE OF FI%TURE OR IT[M NO. TYPF OF FI%TURE OR ITEM <br /> Toi�et A/C - air handling units <br /> Bathmb Forced air systenu <br /> Lavatory(wash basin) _ _ Gas piping <br /> 5 hower W arer heater <br /> Ki[chen sink&disposal ____ Gas fireplace <br />. Dishwasher Gas range <br /> Clothes washer Cbthes dryer <br /> Water heater __ _ Range hood <br /> Sink (service/Uar/mop/etc.) __ _ Exhaustfan <br /> Backflow preventer __ _ Heat pump <br /> Urinal Unit heater <br /> Diinking Fountain __ _ Boiler <br /> Ploordrain _ Refrigeration <br /> Grease trap __ _ Woodstove <br /> - �--- Roo(drains _ _ Other------------------ <br /> _ __ Othei ______ <br /> CI1Y OF EVEHEiT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have iead and examined this applicauon and know the same to be true and correct All provisions of laws and <br /> ordinaces governing ihis type of work will be complied with whether specified herein or not The granting of a permit does not presume <br /> to give autliority ro violate or cancel ihe provision of any other state or local law regulaung consnuctlon or the performance of <br /> construction. That i am autliorized by ihe owner of this pwperry ro perform the work fo�which applicatlon is made and I compiy with the <br /> State C tractors Law 18.27 RCW and 296.200 WAC. <br /> Si9na ir ,0 xracrodAuthorizedAgent � ` t �I�. <br />