Laserfiche WebLink
� <br />• <br />�� 1 �' ��` 1, �� �t � � <br />M. . <br />\ , ' <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />, <br />, <br />G� I S" � �� -t�� � � r ;� �. -� � � �--7 <br />PROJECT ADDRESS <br />��� J'�-�'T—`��-Z1� (v ( S 7 � �11 `�(' �� �'G `� 1 � V`[,C�-.7 w� `TbdL '� �{ 3�'� — �7�= �� �� � <br />wner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />C ity <br />StatelZip <br />Phone <br />�I��l�ia'�- �l�e.—��--�� codr�s,.j�2�« sZ,�t.�:� 8c,�Lz!�c,�;� ,.,� �ts� �3�� :3�:e �����- �3�a1 <br />ElectriCal Contractor Mail Address City State/Zip Phone <br />��������u� 2�+ <br />State License Number <br />`�� /IIu..0 -f� �iu� I�, <br />Proposed Use of Building <br />�� � C� ��`T� <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />��G� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Descri tion of Work to Be Done: '� n '2 <br />p ���J il/.l ��Y'v G�–�- C�..-i Z�, Z,2 ���n� .—��� <br />, <br />� r � .-�- % Gl� l _�, �j � T;���� �� ,Q �5� �—�-� � C��,2-�'�-- h.� �L� C�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be irue and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whefher specified herern or not. The granting of a permit does not presume to give authority to <br />violate orcancel the provisions of any oiherstate orlocallaw regulaiing construction o�ihe <br />performance of construction. That I am authorized by the owner of ihis property to perform the <br />work for which applrcation is made and I comp/y with the State Contractors Law 98.27 RCW and <br />296.200 WAC. <br />� <br />ure <br />FEE <br />������� <br />PERMIT# <br />E �`� �����4 <br />