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( � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE'f, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONSAREACCEPTEDFROM8AM704PM �.,.���/� <br />SITE ADDRESS PARCEL TAX I.D. R [P�RMIT N <br />2801 Rockefellar 00439166500100 I V 1101 _ nC�X.J <br />DESCL� seeattached I BLOCK I THACTOHSUBDIVISIONN <br />Waldrop Ministries, 2801 Rockefellar, Everett, WA 98201 <br />TENANT NAME CONTACT FOR PENMIT <br />Gospel Light Church Tracie Skiles <br />BERRY NEON SIGN SYSTEMS <br />CONTP.UCE�JSEN BERRRYNC077CM <br />U;E OF BUILDING <br />COMMERICAL <br />N/ORK DESCRIPTION <br />INSTALL 1 non-lit wall sign <br />NO. I TYPE OF FIXTUflE OR ITEM <br />___ Toilet <br />B a thtub <br />___ Lavatory(wash basin) <br />Shower <br />___ Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />__ Sink(service/bar/mop/etc.) <br />__ Backflowpreventer <br />Urinal <br />__ Drinking Fountain <br />F loor dra in <br />___ Grease hap <br />---- <br />R oof drains <br />---- Other--------------- <br />Rd, Everett, <br />HEATSOURCE <br />__ Electric ___ Gas ___ Other <br />NO. <br />PHONE 425-776-8835 <br />newpermits@herry�eonsigns.com <br />� <br />425-776-8835 <br />CONTRACT PNICE OF WORK <br />� � ��/� - <br />CHANICAL <br />TYPE OF FI%TURE OR I?EM <br />A/C - afr handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />E xhaust hn <br />Heat pump <br />Unit heater <br />Bailer <br />Re6igeraUon <br />W oo' ; rove <br />CITY OF EVERETT LOCAL SAL[5 TAX CODE IS 3105 <br />I hereby ceridty that I have read and examined this appiicauon and know the same m be true and correct All provisions of laws and <br />ordinaces governing this rype of work will be complied with whether specified herein or not The granung of a permit dces not presume <br />to give authoriry to violate or cancel the provision of any other state or local law regulating construcdon or the performante of <br />construcp)pn. That I am authorized by the owner of this properry to perform the work for which applicauon is made and I comply �vith the <br />State G�o/j��.�tors Law 18.27 RCW and 296.200 WAC. <br />' / // in . //-� /. <br />iI <br />Z <br />