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( ` <br /> . 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 /> a-as-o7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D4.8 �ER.M�IT N � �� <br /> �(� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OVYNER ADDRESS CITY2IP PHONE <br /> y�Ji Inc <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �e r_se C�a�{nn Steven Thomson �'.5-917-2109 <br /> �oNTrU�TOR�nsignia Sign Inc. ADDRESS CITYlZIP PH()NE <br /> INSIGS1062QZ p0 BOX 2849 Renton, WA 425-917-2109 <br /> CONTR.LICENSE K C��ns—'^ <br /> l� (!/ <br /> USE OF BUILDING HEAT SOl!!2CE CONTRACT PRICE OF WORK <br /> �e r_e� e.e.�3� I _Eledric _Gas_Other 53000.00 <br /> WORK DESCRIPTION <br /> Remove existing 76 signage and replace with new Oasis Image 76 signaga. All <br /> Hooked to existing electrical sign circuits. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet _ A/C—air handling units <br /> Balhtub _ Forced air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> Showei _ Water heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clothes washer _Clothes dryer <br /> — ry y Ran e hood <br /> S nk(service/badmopletc.) _ Exhaust tan <br /> Backflow preventer _ Heat pump <br /> Urina I _Unit heater <br /> _Drinki ng Fountain _Boiler <br /> Floor drain _ Rehigeralion <br /> Grease trap _ Woodstove <br /> Roof drains _ Other <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> I hereby ceritify lhat I have read and ezamined this application snd know the same to be true and correct. All provisions ot laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting ot a pertnit dces not presume <br /> to give authority to violale or cancel the provision of any other slate or Iocai law regulating wnstruction or the performance of <br /> wnstruction.Thal�am authorized by the owner of this property to perform the work for which appliwtion is made and I comply with the <br /> State Contractors Law 18.27 RCW and 2�J6.200 WAC. <br /> Sfeue� �Ptum�o�x (Agent) 2/S/07 <br /> Signature of OwnedConlractor/Authonzed gent Dale t/ <br /> z <br />