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PERMIT APPLICATIA <br /> BUILDING / MECHANICAL / PLUMBING / SIGiCTSPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> #1,4:;=:‘ <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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 9915 7th Ave SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Budget Blinds TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 9915 7th Ave SE <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 42526391 38 OWNER EMAIL: <br /> CONTRACTOR NAME: Berry Sign Systems <br /> CONTRACTOR ADDRESS: STREET 7400 Hardeson Rd <br /> CITY Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE: 425.776.8835X114 CONTRACTOR EMAIL: tracies@berrysignsystems.Com <br /> CONTRACTOR LICENSE#(REQUIRED): berryss857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):024786 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.776.8835 X114 <br /> Tracie Skiles CONTACT EMAIL: tracies@berrysystems.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 5624 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. 0Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> install 1 wall sign <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap <br /> Gas Range Ducting Dishwasher _Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater _Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br /> Buildin Official before being authorized under any circumstance. I am the owner.or I am authorized by the owner of this property to perform the work for which application is made. <br /> and/ om with State Contractors Law 18.27 RCW and 296.200A WA <br /> City of Everett Official Use Only <br /> PERMIT 2 <br /> ff 0 0 <br /> 4 <br /> Owne Aut ized . ent Signature Date , (Revised 9/23/2016) <br />