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-- - --z_ . <br /> ��' ERMIT APF� LICATION <br /> CITY OF EVERETT PERMIT � ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98'01 <br /> n25-257-8810 - FAX 425-257-8857 - www.everettwa.org <br /> APPLiCATI0N5 ARE ACCEPTED F30M 8 AM TO 4 PM � � 3 ��� <br /> SITE ADDRE55 PARCEL TAX I.D. 71 �ERIAIT # <br /> 4920 Evergreen Way 00581900�^2500 , ��p� 'C�� <br /> LEfiAi LOT NO. �LOCK TRACT Ofl SUBD-VISION k <br /> DESC. 522 dTTdC{IeCI <br /> OWN[R ADDRE55 CIIY%LIY rnuive <br /> Evergreen Way Holding LLC 1200 5th P.ve Ste 1711, Seattle,WA 98101 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE 425-776-8835 <br /> DollarTree Tracie Skiles newpennil5@berryneonsigns.mm <br /> E-MAIL <br /> CUNTRACTOR ADDRE55 UTY21P PHONE <br /> BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett,WA 98203 425-776-8835 <br /> CONTR. LICENSE q BERRRYNC077CM <br /> USE (1F BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> COMMERICAL I __ ElecVic ___Gas ___ Other $2332 <br /> WORK DESCRIPTION <br /> INSTALL 1 set of LED illuminated channel letters <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE Oft ITEM <br /> Toilet _ _ A/C - air handling units <br /> Bathtub __ Forcedairsystems <br /> Lavarory(wash basiN _ __ Gas pipin9 <br /> Shower __ Waterhearer <br /> Kitchen sink& disposal _ ___ Gas fireplace <br /> Dishwasher _ ___ Gas range <br /> Clothes washer _ _ Clothes dryer <br /> 1M1'ater heater _ __ Range hood <br /> Sink ;service/bar/mop/etc.) _ _ Exhaustfan <br /> BackOowpreventer _ __ Hea[pump <br /> Urinal __ Unitheater <br /> UrinkingFountain _ __ Boiler <br /> Floordrain __ Re(ri9eration <br /> _ Grease trap _ __ Woodstove <br /> - - <br /> Roofdrains _ __ Other_____________—___ <br /> --- Other----------------- --- -------------------- <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceri0fy that I have read and examined this applicaGon and know the same ro be true and correct All provisions of la�vs and <br /> ordinaces goveming this rype of work will be complied with whether specified herein or not The grandng of a permit does not presume <br /> to 9ive authoriry to violate or cancel the provision of any olhcr state or local law regulatlng construcGon or the performance of <br /> consiruclion. That I am authorized by the owner of this properry ro perform tlie work for which applicauon is made and I comp�y with th= <br /> .Gj . ontractors �aw 78.27 � 96J00 WAC. /� �� <br /> 1 '� <br /> Sig aure wievContractor/AuthorizedAgent Date <br /> ��Z <br />