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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-0810 — FAX 425-257-8057 <br />SITE ADDRESS PARCEL TAX I.D. R PERMIT N <br />910 SE Everett Mall Way 2851800306100 <br />LEGALI LOT NO. I BLOCK I TRACT <br />Madison Development 10510 NE Northup Way, #120 Kirkland, 98033 <br />TENANTNAME Madison CONTACT FOR PERMIT PHONE <br />Development Retail (Connie Guffey (253)473-3323 x10 <br />CONTRACTOR ADDRESS ZIP CONTR, LICENSE 0 <br />Plumb Signs Inc. 909 S. 28th St., Tacoma, 98409 PLUMBS2077QS <br />PHONE <br />(253) 473-3323 <br />PROPOSED USE OF BUILDING BU11J11 g Mec"I ICalJAddlllon HEAT SOURCE <br />PERMIT Combinallolt 11IT�(�rPlumbing WORK Allalallon 1'-�( Elachle <br />Retail TYPE D011101111011 xNigit TYPE Mew �( Gas <br />Sprinkler Ro, <br />a6lMninl. Olhar <br />CONTRACT PRICE OF WORK tr �L QO G CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION Install new pylon sign <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />_ <br />_ <br />_ <br />_ <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEAiAR/MOP/ETC.) <br />OTHER <br />A/C —NIIANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITII WHETHER SPECIFIED HEREIN On <br />NOT. THE GRANTING OF A PERMIT DOES Nor PRESUME 10 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULA71NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRPTORS LAW 16.27 RCW AND 296.200 WAC, <br />5/10/05 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />