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P�R M <br /> IT APPLICATI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.evereitwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS ���� ,�v� `��, PARCEL TAX I.D. # PERMIT # <br /> 12902 BOT1�f-L`L=f'Vf��H1�1�-5€ 28053000406700 °=�7� cJ�;",�--�:c��� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION # <br /> oEsc. see attached <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> LEE NORTHWEST INVESTMENT INC �� 4758 229TH PL SE--- ISSAQUAH,WA 98029 <br /> TENANT NAME CONTACT FOR PERMIT PHONE 425-776-8835 <br /> Vibe Dance Studio Tracie Skiles newpermits@berryneonsigns.com <br /> E-MAIL <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 HEAT SOURCE CONTRACT PRICE OF WORK <br /> COMMERICAL ___ Electric ___ Gas ___other `� '�, y��y^� <br /> WORK DESCRIPTION <br /> INSTALL 3 lit wall sign <br /> P L UMB ING ME C HANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ____ Toilet _ __ A/C — air handling units <br /> __ Bathtub __ Forced air systems <br /> ___ Lavatory (wash basin) _ _ Gas piping <br /> S hower Water heater <br /> __ Kitchen sink& disposal Gas fireplace <br /> __ Dishwasher __ Gas range <br /> __ Ciothes washer _ __ Clothes dryer <br /> _ Water heater Range hood <br /> _ _ Sink (service/bar/mop/etc.) Exhaustfan <br /> _ __ Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> _ _ Drinking Fountain Boiler <br /> _ __ Floordrain Refrigeration <br /> _ __ Grease trap _ Woodstove <br /> R oof drains Other <br /> — — -- — -------------- <br /> Other <br /> CITY OF EVERETT LOCFlL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisiuns 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 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 /> S ontractors Law 18.27 RCW and 296.200 WAC. <br /> �l,C �� �1l� <br /> nature o Owner/Contractor/Authorized Agent Date <br />