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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITEADDRESS <br />_ <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />!LS Retail Group LLC <br />TENANT NAME <br />BLOCK I TRACT <br />CONTRACTOR Insignia Sign Inc. <br />CONTR. LICENSE H INSIGS1062OZ <br />USE OF BUILDING <br />PARCEL TAX I.D. p <br />CONTACT FOR PERMIT <br />Steven1h111= <br />ADDRESS <br />po BOX/49 <br />9113 <br />HEATSOURCE <br />Electric _ Gas _ Other <br />PERMIT A <br />PHONE <br />CITYIZIP PHONE <br />Renton, WA 425-917-2109 <br />)le-Jerl@inii5l> r1s�HA • ids, <br />CONTRACT PRICE OF WORK <br />ORK DESCRIPTION g �•�ro lace existing <br />76 canopy signs <br />Replace existing 76 dual pole !sign with new Texaco single le sl P g <br />with new Texaco canopy channel letters;(DInstall new <br />tare 2 existing circle star wash 90 angel nnel replacesignewH:hnne � <br />mart panel sign with now Texaco panel sign;6rep g <br />Texaco panel sign: PLLIMBING MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ Toilet <br />_ Bathtub <br />_ Lavatory (wash basin) <br />_ Shower <br />_ Kitchen sink & disposal <br />_ Dishwasher <br />_Clothes washer <br />_ Laundry tray <br />_ Sink (service/bar/mop/etc.) <br />_ BackBow preventer <br />_ rina I <br />_ Drinki ng Fountain <br />_ Floor drain <br />_ Greasetrap <br />_ Ronfdrains <br />Othe. <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />;lothes dryer <br />Range hood <br />Exhaust fen <br />Heal pump <br />Jnit heater <br />_ Refrigeration <br />Woodslove <br />Other_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this properly to perform the work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 298.LX0 WAC. <br />��tNen �j��ppyjAgent & Contractorl 11/09/11 � <br />