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425-252-1666 c.m.heating 11:30:57 11-27-2015 7/8 <br /> LII Y Ut CV ETT PERMIT SERVICES <br /> 3200 CEDAI I IITREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-mew.everettr/a.org <br /> ECT ADDRESS <br /> 41A -E <br /> Ct/ a...-_ <br /> 133'1 Adjrass Gt/ State.7:p Pnore <br /> eck-fini to MI6 6rc 4L4xt 61 k,rZlt, Wh gg2ol 1-25 2S9 tA012.0 <br /> I Contraztor 1.13:1 A1Jrass Cdj State2;P Proe <br /> 7114 Mll-S-17t)Q of (vow <br /> arise Number(required) City of Everett Business License Plumber(r eq•iired) <br /> So.o° <br /> I Use of Building Contract Price of Work <br /> r►' a- it t- 0 Cann ker t1.g-cove <br /> 1� 5a <br /> ootage(If residential new construction,remodel or aJi tion) Contact' erson/C�c fkimber/Erna'I <br /> if devices(If tow voltage) ��77 ,, `.i <br /> in of Work to Be Done: CA / Qu C2, C( tsaL <br /> FEE <br /> EVERETT LOCAL SALES TAX CODE IS 3105 n 00 <br /> edify that I have read and examined this application and know the same to be true and (/ <br /> 11 provisions of laws and ordinances governing this type of work will be completed <br /> )ecifed herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> :ancel the provisions of any other state or local law regulating construction or the i / 1 -75 <br /> ce of construction. That 1 am authorized by the owner of this property to perfonn the El e ( <br /> filch application Is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> /AC. <br /> gaLt <br /> 15- <br /> Ignatura Data <br /> ?Or1 <br />