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i <br />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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. a <br />PERMIT a <br />7501 HardesonRd <br />28041200200800 <br />LEGAL LOT N0. <br />RIOCK <br />TRACT OR SUBDIVISION s <br />DESC. see attached <br />OWNER ADDRESS CITY2IP PHONE <br />ZIMMERMAN R PAUL & CONSTANCE K 113400 260TH AVE NE - -- REDMOND, WA 9805323 <br />TENANT NAME <br />CONTAC T FOR PE RMIT PHONE 425-776-8835 <br />Saf e-Hectronics <br />Tracie Skiles newpermits4berryneonsigns.com <br />I <br />Sn ✓A_ .\ <br />E MAIL <br />`CONTHAC TOR ADDRESS CITY/ZIP PHONE <br />BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett, WA 98203 425-776-8835 <br />CONTR. LICENSE N BERRRYNC077CM <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />COMMERICAL <br />Electric Gas Other <br />C <br />__ --- --- <br />WORK DESCRIPTION <br />INSTALL 1 set of non lit painted finish cut pvc letters <br />i <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE 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 />Lavatory (wash basin) <br />_ <br />Gas piping <br />Shower <br />__ <br />Water heater <br />Kitchen sink & disposal <br />___ <br />Gas fireplace <br />Dishwasher <br />___ <br />Gas range <br />Clothes washer <br />____ <br />Clothes dryer <br />Water heater <br />Range hood <br />_ <br />Sink(service/bar/mop/atc.) <br />____ <br />Exhaust fan <br />Backfow preventer <br />___ <br />Heat pump <br />Urinal <br />_ <br />Unit heater <br />Drinking Fountain <br />---- <br />Boiler <br />Floor drain <br />_ <br />Refrigeration <br />__ <br />Grease trap <br />___ <br />Woodstove <br />Roof drains <br />___- <br />Other_____, <br />---- <br />Other------------------ <br />---- <br />--- --- <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceritify that 1 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 authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />Slate Contractors Law 18.27 -W and 296.200 WAC. <br />i <br />Date <br />ignatur /C tractor/Authorized Agent (� <br />