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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 /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM (j `� al `ID I <br /> SITE AD�RE55 PARCEL TAX I.D. k PERMIT p <br /> 3625 Broadway 00437387901000 , ) `;- <br /> LEGAL LOTNO. BLOCK TflACTORSUdDIVI510NY <br /> oesc. seeattached <br /> OWNCR ADDF[55 CITV2�" PHONC <br /> STADIUM CENTER LLC �� 2717 ROCK[FELLER AVE--- EVERETT,WA 98201-3522 <br /> 1 F NANT NAME CONTACT f OR PE RMIT PHONE 425-776-8835 <br /> Little Caesars Tracie Skiles newpermitsw�berrynronsignimm <br /> E-MAIL <br /> COMfiACION AUDHE55 UTY21P PHONE <br /> BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett,WA 98203 425-776-8835 <br /> coNTR. uceNs� a BERRRYNC077CM <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE Of WORK <br /> COMMERICAL Electric ___Gas ___ O�her $6282.00 <br /> WORK DESCRIPTION <br /> INSTALL 1 lit wall sign <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTUfl[ OR ITEM NO. TYP[ OF FlXTURE Ofl ITEM <br /> Toilet A/C - air handling units <br /> ____ 6athtub Porcedairsystems � <br /> __ _ Lavatory(waslibasin) __ Gaspiping <br /> Shower Waterheater � <br /> __ _ Kitchen sink&disposal ___ Gas fireplace � �������� <br /> __ _ Dishwasher Gas range � <br /> __ _ Uotlies washer __ Clotlies dryer �/ ��•.� � <br /> __ _ Water hearer Range hood i/ jn <br /> _ Sink (service/Uadmop/etc.) Exhaust(an �7 <br /> ____ BackOow preventer ___ Heat pump �/J./� %' <br /> __ Urinal Unitheater ``� � ' G�� <br /> ___ �rin4�ng Fountain Boiler ��, -- <br /> __ flooi drain Re(rigeration <br /> -- --- <br /> ____ Gmasehap ___ Waodstove �� !/ .7 <br /> �— _ <br /> ____ Roo(drains ___ Otlier________________ � <br /> -- _ 7 .. <br /> --- Other-------------- <br /> UTY OF CVEH[TT LOCAI SALES X CODE IS 3105 <br /> I hereby ceritify that 1 have read and examined diis applicatlon and know the same ro be true and correc� All pwvisions of laws and <br /> ordinaces governing diis type of woik will be complied witli whether specified herein or not The granting o(a permit does not presume <br /> to give authority ro violate or cancel the provision of any otlier state or local law regulaong construcfion or the performance of <br /> construction. That I am authorized by the owner of thiz properry to perform Ihe work for which applicauon is made and I comply with the <br /> State o vactors Law/78.27 RCW and 296.200 WAC. <br /> ( ��/�" � l!//��/,(,!�� � <br /> i re of Owner/Contractor/Authorized Agent T tD'3 e �L <br />