Laserfiche WebLink
Feb 02 1501:31p rk` 1E3377746 p.8 <br /> Ferrin Electricll <br /> CITYELECTRICAL <br /> OF EVERETT <br /> APPLICATION <br /> 1/ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E VERETT, WA,98201 <br /> ' g 14 3* I r''''- <br /> 425-257-8810 - FAX 425-257-8857—w _org <br /> • � f <br /> - - St A?-7L- 6 <br /> • PROJECT ADDRESS <br /> Owner4,C ' IL R(di , ilowl, i .1 09\- ,1 u1,-t,,,,tk*\ <br /> D !Al V V A 4.o - <br /> Mail Address \ � <br /> StLatemp <br /> City <br /> Tenant <br /> Pitons <br /> Mail Address <br /> t City <br /> e�} ��� ��V}� State/Zip <br /> eah'icai Contractor <br /> V lt4aa ` 1 Y�p A 1/, r f Phone <br /> Phone <br /> State License Number <br /> A i v u 1-3 _ Contract Price of Work <br /> • <br /> Propos 7-et Us/e of Building <br /> `Z f / Contact Person (Plan Review)- <br /> newcorrstaxgon,remodel or mon) <br /> Wilber of devices on tow voltage) <br /> Description of Work to Be porta r 6 V <br /> 1),..2„ A..,„Le... 1„ 1/-\_. i., 4-,}P S'efivrr:e - <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106FEE <br /> t hereby cs ^V <br /> correct �Y tttatJ have readand��, �tj <br /> AU provisions of laws { mad 1lrls applicationare know the same true and <br /> violate e�M orsaot The governing this type Presuof m e give completed <br /> or ca ofct he previsions <br /> of <br /> f�caber erlied or local <br /> by r o eg co to <br /> staff arlocallawreq�a - pER�IT� <br /> work for <br /> performance <br /> application ruct is made and 1roe o�i° r <br /> 296.200WAC PP Aly with the State Contractors'property w 8 2 RCw and l l/� <br /> SignatureC2e....,..Lkt12 p. 0 - — <br /> (�ate - <br /> •ate <br /> REI4BED 32003 <br />