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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200CEDAR STREET, EVER E,T WA98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. q <br />PERMIT x <br />j/ - of <br />305 SE Everett Mall Way <br />28051800304300 <br />00 F-) <br />LCGAL LOT N0. <br />BLOCK <br />TRACT OR SUBDIVISION # <br />Desc. see attached <br />OWNER <br />ADDRESS CITY/711' PHONE <br />GREENTREE PLAZA 06 A LLC 1112411 VENTURA <br />BLVD - - - STUDIO CITY, CA 91604 <br />1ENANT NAME <br />CONTACT I.Oil PERMIT PHONE 425-776-8835 <br />Round Table <br />Tracie Skiles newpermits(aberryneonsigns.com <br />- <br />E MAIL <br />CONTRACTOR ADDRESS CITY/LIP PHONE <br />BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett, WA 98203 425-776-8835 <br />CONTE. LICENSE 11 BERRRYNC077CM <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />COMMERICAL I <br />___ Electric __- Gas -_- Other <br />$7590.00 <br />I <br />WORK DESCRIPTION <br />INSTALL 1 lit wall sign <br />PLUMBING <br />MECHANICAL <br />NO. TYPE 01IIX TORE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />__— <br />A/C - air handling units <br />Bathtub <br />_-__ <br />Forced air systems <br />—__ <br />Lavatory (wash basin) <br />--_ <br />Gas piping <br />Shower <br />—__ <br />Water heater <br />_ <br />Kitchen sink & disposal <br />---- <br />Gas fireplace <br />--_ <br />Dishwasher <br />—__ <br />Gas range <br />Clothes washer <br />—__ <br />Clothes dryer <br />Water heater <br />__ <br />Range hood <br />Sink(service/bar/mop/etc.) <br />Exhaust fan <br />_ <br />_ <br />Backtowpreventer <br />____ <br />Heatpump <br />_ <br />Urinal <br />—__ <br />Unit heater <br />___ <br />Drinking Fountain <br />—_ <br />Boiler <br />Floor drain <br />__— <br />Refrigeration <br />_ <br />Grease trap <br />_—_ <br />Woodstove <br />^_Roof <br />drains <br />_—_ <br />Other--- ------- <br />other - — - — ---------- — <br />-- <br />-- -- <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that) have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume <br />to give a ority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />cons tru at I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />Sta n ra r a 18.27 CW and 296.200 WAC. <br />16- <br />