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SITE ADDRESS <br />3303 McDougal Ave <br />LEGAL LOT NO. <br />oesc. seeattached <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200CEDAR STREET,EVERETT,WA98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�1 <br />PARCEL TA7C I.D. N <br />00439U79700101 <br />BLOCK � TRACT OR SUBDIVISION p <br />PERMIT k <br />GLACIER PROPERTIES LLC �� PETER BRODIE - 6333 KIEL COURT SE -- OLYMPIA, WA 98503 <br />TENANT NAME CONTACI FOR PERMIT PF+oN� 425-776-8835 <br />DBS Paintball I Traeie Skiles newpenni�s�eberryneonsigns.com <br />E-MAIL <br />CONTNACTOR ACDRESS UlY21P PHONE <br />BERRY NEON SIGN SYSTEMS 7400 Hardeson Rd, Everett, WA 98203 425-776-8835 <br />coNra.uceNseu BERRRYNC077CM <br />USE OF 6UILDING <br />COMMC=RICAL <br />WOHK D[SCRIPTION <br />INSTALL 1 lit wall sign <br />PLUMBING <br />NO. I TYPC OF I"IXTUflC OR ITEM <br />Toilet <br />--- Bathtub <br />_ ! ava�ory pvash basin) <br />Shower <br />_ Kitchen sink & disposal <br />Dishwasher <br />Uo�hes washer <br />Water heater <br />_ Sink (serviceNar/mop/etc) <br />_ B, ckflow preventer <br />Urinal <br />__ Diinking Fountain <br />Floor drain <br />__ Grease trap <br />R oof dra ins <br />---- Other ----- <br />HEATSOURCE <br />___ Electric .___ Gas ___ Other <br />NO. <br />I <br />CONTRACT PRICE OF WORK <br />$1180.00 <br />rrr� or FixTunE oR ir�M <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gaz range <br />Clothes dryer <br />Range hood <br />E xhaust ian <br />Neat pump <br />Unit heater <br />B oi�e r <br />Refrigeration <br />W ooJs wve <br />Other------------ <br />UiY Of EV[R[TT LOCAL SALES TAR CODE IS 3105 <br />I hereby cerilify that I have read and e>:amined this application and know the same ro be true and correct AII provisions of laws a�d <br />ordinaces 9overning this rype of woik will be complied with whether speci6ed herein or not The granting of a pennit does not presume <br />to give authoiity to ciolate or cancel the provizion of any other sta0. or bcal law regulaung constructlon or the performance of <br />construction. That I am authorized by the owner of this properry to per(orm d�e work for which applicatlon is made and I comply with tlie <br />State C u ctois Law 18.27 RCW and 296.200 WAC. v � <br />���i �,.�, � J 7d �r) <br />nt Date ' <br />t � <br />