608 LINDEN ST 2016-05-23 - Laserfiche WebLink

i • • E . I ' A=WL PERMIT APP I AION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857— tt/ra i.i).e:ve:v a-J,t.- .d;i" i' /', '`( 17: 16 i\-it,t p PROJECT ADDRESS�- Owner //'' Mall Address City State/Zip Phone Gi1klt O'drC-V.) 6\11;1.5 Tenant • -. _. i Mail Address City �� State/Zip Phone n I'u t.CDIA(Aftt-c--ZT=I G Pb 13 a X `I u 11 Vt t'--(4-i.aai-,_) ('-) �. `i iI D�'3 ("1 z.} b t 2-2c� l'6, Electrical Contractor Mail Address City T State/Zip Phone �� EI I `��•�b��. � ?�'� VI GI Com-l; i `' State License Number(required) City of Everett Business License Number(required) i P1G4-11;{, , - u e C, '4 `l '2O Proposed Use of Building Contract Price of Work Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email Number of devices(If l w volfaie) Description of Work to Be Done: Cc•S,frncrIC./t.1-'4 f)'7' 5fty IN Q. r(,c0,.1(__e-YYiE7v j- G}= L.i()i-77 c f `.1 i f r > ) ail;.I Gc ttoti U 5 I - G rLc.A.t/7",S FEE CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 00 /hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the E /91- 9I h 'S' work for which application is made and/comply with the State Contractors Law 18.27 RCW and l/lv l/ 296.200 WAC. .4 _p. ii 'd ,Z5 Signature pate' REVISED 08/0V20f4 3 t t-4-- / TU 6..--1-f/1 • — 1