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P�r2MIT APPLICATION <br /> BUILDIiVG/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM — a�i— 1 I <br /> SITE ADDRESS. PRQPERTY TAX p PERMIT R <br /> roadway,Suite 107 01060600000100 � <br /> LEGAL lor new conslmction: Short PlaVsubdivision Lol No,_ (atlach copy of long legal tlescnption) <br /> OWNER EVERETTGATEWAYCENTER, PhonelE-mail <br /> nddiess 2717 ROCKEFELLER AVE City/SlatelZip EVERETT,WA 98201-3522 <br /> CON7RACTOR Berry Neon Sign Systems L& I Lic.# berrync077cm <br /> Address 7400 HdfdeSon RCI,EVOreI[,WA 98203 PhonelEmaB`�z5-776-8835 newpermitsi�berryneonsiqns.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT TrdCie SkileS <br /> Sonus Hearing Care Pro(essionals phone/E-mail 425-776-88'.5 newpermitsfberryneonsiqns.mm <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 53G9o.00 <br /> Existing Use of Building HEAT SOURCE�. <br /> Proposed Use of Building Gas Eiectnc Otner <br /> Bmlding type�. _Single Famity _Duplex_I'ownhouse _Multi-Family x_Commercial <br /> Type ol project: _New _Addition _Remodei _Repair_T I. x Sign_Sprinkler_DemoGtion_Change of Use <br /> DesCriptiDn of Work(adtlRional space prowded on the back/: <br /> Instali one lit wall sign for Sonus Hearing Care Professionals <br /> Have you slarted working without a permit7 _YES x NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJoct: _Naw_Adtln _Alteralion_Repair Typo ol ProJuct: _New_Addn _Allorat�on__Ropalr <br /> Shuw Number(N�oI lixtures Show Number(p)o//iA fums <br /> A!C—air h�ndhna units ToAei <br /> I ForceA air s stems Bathtub <br /> Gas pi in Lavato (wash basin) <br /> Water heater I Shower <br /> � Gas(ue lace Kitchen sink&disposal <br /> I Gasran e Dishwasher <br /> � Clothes dr er Clothes washer <br /> � Ran e hood Water heater <br /> [xhaust fan � Sink(service/badmop/etc.) , <br /> Heat pump � [3ackflow preventer � <br /> � Umt heater Urinal _ <br /> Builer Drnkin Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> I Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> � Number of Heads I Other: <br /> 1 hemhy cehify Iha1 I have read and ezamined Ihis application and know Ihe same ta be Irue and correct.All provisions of laws and ordinanws goveming <br /> this lype of work will be complied wilh whelher specified herein or noL The granting ol a permit doec not presume lo give authority to violale or cancel <br /> Ihe provis on of any other state or local law re9ulating construction or Ihe pedormance ol constmclion.Thal I am authorized by Ihe ovm�.r ol this p�openy <br /> lo perfom�the �or fo which.pplicalion is made and 1 cor,�ply wdh the Slale ConliaGors Law 1827 RCW and 296200 WAC <br /> � . ��,�1L/ <br /> Own�r/Aulhorzed� gentSignaWro '-C ' Date (Rev�sed2R017) <br /> ��Z <br />