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PERMIT AF'PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTEDFROM8AMT04PM ��),_/6� <br />SITE ADDRE55 PARCEL TAX I.D. x PERMIT X <br />910 SE EVERETT MALL WAY 28051860306100 ��c, �(� -d�) 5 <br />L[GAL LOT NO. BLOCK TRACIOR SUBDIVISION a <br />Df 5 C. $22 diiBCi12C� <br />06VNEH ADDRE55 <br />RAND'S 910 CENTER LLC �� PO BOX 873 --- FREELAND, WA 9II249 <br />ITYlZIP <br />T[NANTNAME I CONTACTFORP[RA11T rHONe 425-776-8835 <br />Spa Dolche Tracie Skiles newpermits,c-berryneonsigns.mm <br />E-MAIL <br />CONTRACTOR AUDREtiS UTY21P PHONE <br />BERRY NEON SIGN SYSTEMS 7400 Hardeson Ra, Everett, WA 98203 425-776-8835 <br />cor,ra.uceNse u BERRRYNC077CM <br />USE OF BUILDING <br />COMMERICAL <br />WORK DESCRIPTION <br />N0. <br />INSTALL 1 lit wall sign <br />PLUMBING <br />1YPE OF fl%TURE OR ITEM <br />Toilet <br />8 a thtub <br />Lavarory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Uothes washer <br />Water heater <br />S ink (serviceibar/mop/etc) <br />Back(low preventer <br />Urinal <br />Drinking Fauntain <br />Floor drain <br />Grease nap <br />R oof drains <br />Other_ _____ <br />HEATSOURCE <br />___ E lectric ___ Gas ___ Otl•er <br />NO. <br />CONTRACT PHICE OF VJORK <br />55490.00 <br />I(_AL <br />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 />Range hoad <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />R efrigeration <br />W oods tove <br />Other ____ _____ ___ <br />IITY OF EVERETT LOCAL SALES TA%CO�E IS 3105 <br />I hereby ceritify that I have read and examined this application and know tlie same ro be true and correct 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 not presume <br />to give authority ro violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. ihat I am authorized by the owner of this properry to per(orm the work (or which applicauon is made and I comply with the <br />S�ate Cq�tracrors Law 18.27 hCW and 296.200 WAC. _/ <br />/ <br />