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� <br />PtRMIT APPLICATIUN <br />CITY nF EVFRETT PERMIT SERVICES <br />3200 C E DAR STR E ET, EVE R ETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />ApPLICATIONS ARE ACCE•PTED FROM 8 AM TO 4 PM <br />SITE ADDRE55 <br />725 SE EVERETT MALL WAY <br />LEGAL LOT N0. BLOCK <br />DESG Se2dtYdCIl2CI <br />PARCEL TAX I.D.» <br />28051800305500 <br />TftACT OR SUBDIVISION k <br />CARPET LIQUIDATORS R/E LLC �� 1239 NE 91 ST --- SEATTLE, WA 98715 <br />TCNANT NAMC <br />CARPETi.IQUIDATORS <br />ICONTAC'� FOR PERMIT <br />Tracie Skiles <br />wninnu�rc <br />BERRY NEON SIGM SYSTEMS <br />CONTR. LICENSE q BERRRYNC077CM <br />USE OF BUILD!NG <br />COMMERICAL <br />WORK DESCRIPTION <br />NO. <br />INSTALL 2 lit wall sign <br />PL <br />TYPE OF FI%TUIiE OR ITEM <br />Toilet <br />Bathwb <br />Lavarory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />S ink (service/bar/mop/etc.) <br />BackOow preventer <br />Urinal <br />Drinkin9 Foun�in <br />Floor drain <br />Grease tiap <br />R oof drains <br />Other ._—_-------- <br />PERMIT # <br />7l(���o'ii�i <br />PHONE 425-776-8835 <br />E-MAIL newpermits@berryneonsigns.com <br />4DOHE55 lllT/LIY <br />400 Hardeson Rd, Everett, WA 98203 425-776-8835 <br />HEAT 50URCE CONTRACT PRICE OF WORK <br />___ Elecvic __ Gas ___ Other I�% L�� � <br />NO. <br />C <br />TYPE OF fl%TURE OR ITEM <br />A/C - air handling uniLs <br />Forced air systems <br />Gas piping <br />Wa[er heater <br />Gas fireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaus[fan <br />Heat pump <br />Unit heater <br />Boiler <br />R efrigera tion <br />Woodstove <br />Other------------- <br />UTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritlfy that I have read and examined this applica6on and know the same to be true and correct All provisions of laws and <br />ordinaces governing this type of wor!� will be complied with wlieUier specified herein or not The grantlng of a penni[ does not presume <br />t� give authoriry to violate or cancel the provision of any other state or local law regulating consvuctlon or the performance of <br />construction. That I am authorized by the owner of this properry to perform the work for which applicadon is made and I comply with the <br />Sta}r �tra4tors Law 18.27 -and 296.200 W AC. ' <br />i ; �����/� <br />Sia ture�of Ow edContractodAuthorized Agen[ Date �� <br />