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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />,G ✓J APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ? Gj <br />SITE ADDRESS PARCEL TAX I.D. it PERMIT # <br />-1@44 Hoyt 01116700000200 1) 02 —4V 7 <br />LEGALI LOT NO. BLOCK <br />TRACT OR SUBDIVISION# <br />DESC.r seeattached <br />OWNER ADDRESS CITY/ZIP PHONE <br />ARTSPACE EVERETT LIMITED PARTNERSHIP 250THIRD AVE N STE 500, MINNEAPOLIS, MN 55401 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE 425-776-8835 <br />Schack Arts Center <br />Tracie Skiles newpermits<aberryneonsigns.com <br />E-MAIL <br />_ <br />CONTRACTOR ADDRESS CITY/ZIP PHONE <br />BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett, WA 98203 425-776-8835 <br />CONTR. LICENSE # BERRRYNC077CM <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />COMMERICAL <br />___ E lectric ___ Gas ___ Other <br />$7821.00 <br />WORK DESCRIPTION <br />INSTALL 1 lit wall sign S �/ <br />j <br />PLUMBING <br />MECHANICAL <br />NO, TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />__ <br />Toilet <br />__ _ <br />A/C - air handling units <br />__ <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 />___ <br />Clothes washer <br />__ <br />Clothes dryer <br />--__ <br />Water heater <br />___ <br />Range hood <br />___- <br />____ <br />Sink(seivicerbar/mop/etc.) <br />Backflowprevenwr <br />____ <br />Exhaustfan <br />Heatpump 15zs <br />Urinal <br />__ <br />Unit heater ,�// ����-71 <br />-7 -50 <br />__ <br />Drinking Fountain <br />__ <br />Boiler <br />___- <br />Floor drain <br />Refrigeration <br />__ <br />Grease trap <br />__ <br />Woodstove 9% <br />---- <br />Roof drains <br />------- f <br />Other ---------- �0 Tiff <br />Other --------------- <br />---- <br />------------- <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceritify that I have read and examined this applf(auon and know the same to be true and correct All provisions of laws and <br />ordinates governing this type of work will be complied wit whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />cons tructiona torJLaw18.27Rhat I am authorized by the owner of this property top dorm work for which application is made and I comply with the <br />State Con CWand296.200WAC. <br />S igna-tirreof w r/Contractor/Authorized Agent Date I/L <br />