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425-252-1666 c.m.heating 14:44:53 11-25-2015 2/4 <br /> CITY OF EVIOETT PERMIT SERVICES <br /> 3200 CEDAR. STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8957—w•;rv.everett�ia_org <br /> Al <br /> IECT ADDRESS <br /> �1N �- r = <br /> 1.131 Adjra» Gtj sta!3'zip <br /> Mail Address Cit/ Slate Zip peon <br /> �e�finG ( H5 brcr&av eyaz tt, 25g <br /> al Contractor P,13i1 Address I Cit/ St3`_.2ip Phi <br /> TARQ- sM47btJ _ DI (oOQ9 <br /> canse Plumber(required) City of Everett <br /> ^Business license mumber(required) <br /> ad Use of Building ontracct Prl of Work r <br /> ti.l , <br /> Footage(if residential nevi construction, remodel or addition) Contact ParsonlCont3.t Plumber/Cmail <br /> of devices (if low voltage) -� <br /> ion of work to Ba Done: l.l�L� ' G�'�'! <br /> FEE ,fir <br /> •EVERETT LOCAL SALES TAX CODE IS 3105 { D <br /> P <br /> certify that/have read and examined this application and kno-w 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 /> r cancel the provisions of any otherstate or local law regulating construction or the <br /> Ince of construction. That t am authorized by the owner of this property to perform the E <br /> which application is made and i comply with the State Contractors Lair 18.27 RCW and <br /> WAC. <br /> uj ?Axwhj c �a5 I0 <br /> Signature Date <br /> G32]1J <br />