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PERMIT APPLICATlO�V <br />CITY OF EVERE7T PERMIT �E�V�CES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 - www.everettr�a.org <br />APPUCATIONS ARL ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDFiESS PARCEL TAX i.D. # <br />901 SW Everett Mall Way 28042400200100 <br />LOTNO. I GLOCK I TRACTORSUBDIVISIONp <br />South Point Plaza liLC 406 Ellingaon Road, Pacific, 98047 <br />�3359 <br />8-sv�_� <br />n <br />u�- CX�B <br />TENANTNAME CONTACTFORPEHMIT ' PHONE <br />eig Foot Java I Connie Guffey/Plumb Signs (253)473-3323 xl� <br />connie@ lumbsiqns.com E-MAIL <br />TRACTOfl D E�� CITY2 P O E <br />Plumb Signs Inc. 909 5. 28th St_, Tacoma, 98409 (253)473-3323 <br />CONTR. LICEIISE $ <br />PLUP1BSI077QS 11/10/09 <br />USE OF BUILDING <br />Retai.1/Commercial <br />HEATSOURCE <br />Electric Gas Other <br />WORK DESCRIPTION <br />Instsll (3) illuminated wall signs for Biq Foot Java <br />NO. I TYPE OF FIXTURE Ofl ITEM <br />Toilet <br />Bathtub <br />Lavarory (wash basin) <br />Shower <br />ICitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbadmop/etc.) <br />Backllow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br />I hereby ceritify that I have read and examined tliis applicatlon and know Ihe same to be true and correct. All provisions ot laws and <br />ordinaces governing Ihis type of work will be complied with whether specified herein or not. The granting o( a permit does not presume <br />to give aulhorily to violale or cancel the provision of any other stale or local law reaulaling consiruction or Ihe performance of <br />consiruction. That I am aWhorized by lhe owner of ihis property to perform the work for which applicatlon Is made and I comply with the <br />State Cpntraclors Law 18.27 RCW and 296.200 WAC. <br />7/22/Of3 <br />/ <br />Z <br />