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425-252-1666 c.m.heating 11:30:17 11-27-2015 3/8 <br /> CITY OF E' :t SETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—veNw.everettwa.org <br /> ) <br /> JECT ADDRESS <br /> `rs ,tpcpt q.kleAst 48aL,( gg14- 0 <br /> L.11311 Address Cit/ Sta tip Pno-e <br /> f,Iail Address Cii'j State/Zip Prone <br /> . I-teafinq Inc_ Iif1 6rcetioat, earTJ WPI 426 2S9 1-06' <br /> :al Contractor Mail Address City Sta:e:Zip Phone <br /> ,mN Mi+S17btu of (nogg <br /> cease Number(required) City of Everett Business License Number(required) <br /> 1 <br /> ed Use of Building Contract Price of Work <br /> ft .aetilhcVYd ` `OVIA <br /> Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> •of devices(If low voltage) /�`� <br /> tion of Work to Be Done: 014/(iL.. eR O `(�, LC <br /> FEE <br /> EVERETT LOCAL SALES TAX CODE IS 3105 o Q(j <br /> •certify that 1 have read and examined this application and know the same to be true and <br /> All provisions of laws and ordinances governing this type of work will be completed <br /> specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> 1r cancel the provisions of any other state or local law regulating construction or the / _ I <br /> ince of construction. That I am authorized by the owner of this property to perform the <br /> 1q-- <br /> which application Is made and I comply with the Stale Contractors Law 18.27 RCW and <br /> WA C. <br /> VotzSignature (31‘I'k.t. t3sC:SDate <br /> LC 2- t4 <br />