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PERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98207 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS /�/�� S� �� �_1 �,:�/f <br />1.302�E EVERETT MALL WAY , , �, <br />LEGAL LOT NO. BLOCK <br />oesc. see attached <br />PARCEL TAX I.D. k <br />28051800401100 <br />ACT OR SUBDIVISION k <br />P <br />� � --1L7 <br />�ERMIT k <br />�l r-.i.-�I _ i <br />CDSN LLC �� 1411 4TH AVE STE 730 --- SEATTLE, WA 98101 <br />TENANT NAM[ CON7�f.T fOR P[RMIT PHONE 425-776-8835 <br />The Vitamin Shoppe Tr�;:ie Sk�les newpermits@berryneonsigns.com <br />E-MAIL <br />CONTRACTOR Al)DRE55 CITY2IP PHONE <br />BERRY NEON SIGN SYSTEMS 74Q0 Hardeson Rd, Everett, WA 98203 425-776-8835 <br />CONTfi.LICENSEl1 BERRRYNC077CM <br />USE OF BUILDING <br />COMMERICAL <br />WORK DESCRIPTION <br />INSTALL 3 lit wall sign <br />PLUMBING <br />N0. I TYP[ Of FIXTUR[ OR ITEM <br />Toilet <br />Bathtub <br />____ � Lavatory (wash basin) <br />____ S hower <br />__ Kitclien sink & disposal <br />Dishwasher <br />Clothes washer <br />Water hearer <br />_ Sink(service/Uadmop/etc.) <br />_ Backfiow preventer <br />Urinal <br />_ Drinking Fountain <br />__ Floordrain <br />___ Grease [rap <br />--- <br />R oo( drains <br />--- .Other--------------� <br />HEATSOURCE <br />__ Electric ___ Gas __ Other <br />CONTRACT PRICE OF WOftK <br />$2650.00 <br />MtlI1ANI�AL <br />NO. I TYPE OF f�XTURE OR ITEM <br />__ A/C - air handling units <br />__ Forced air systems <br />--_J Gas piping <br />1 Waterheater <br />T Gas fireplace <br />� Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />7 8oiler <br />--- <br />Refrigeration <br />W oods tove <br />r--- Od�er------------- <br />CITY 0� EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby ceritlfy that I have read and examined this application and know the same ro be true and [orrect All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not The granting of a permit does no[ presume <br />to give authoriry to violate or cancel the provision of any olher state or local law regula0ng construcUon or [he performance of <br />consvuction. That I am authorized by ehe o�vner of this pwperry ro per(orm Uie work for which applicafion is made and I comply with the <br />State Cqntracrors Law 18.27 RCW and 296.200 WAC. ��_� <br />�� Z <br />