Laserfiche WebLink
Dec-22-11 03:38P <br />�LCCTRI�AL PERMIT APPLICATIUN <br />CITY OF �VERETT I�ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9f3201 <br />425-257-8910 - FAX 425-2f�7-8857 —wvdw.everettwa.org <br />APPLICATIQNS ARE ACCEI�7ED FROM 8 AM TO 4 PM <br />P.O1 <br />i 2 �yz � << <br />E)112—I�5 <br />�yo� ����� .� -_�___ y�.s <br />PRGJECT ADDRESS C�� <br />J <br />�.B�c�.h�t.�f�--- �y6� �if��vc_�� '�r� do� ��� �1 ��o z <br />Ownef Maii nddress Clty Slate/Zip Pheno <br />Tenant <br />Mail Address <br />Cily <br />State/Zip <br />Phone <br />1��4�l�—�_. ���.$i�. .._ �-z-i1 �'f?O/ �.s � _�rQ� <br />Electncsl ConlfaCtor Mall Address City Stale�Zip Phono <br />a ��4G1� !�'f.� d � �SO '� <br />�L- s/ z � L/ AtAflF /tL1tS� <br />Slafe Licen�� e3 /� � �/ Conl�rice o(V1ork <br />�oi�lnp <br />Proposed Uso of Bulldiny <br />Des�'tiptirni nf Work lo Be Done: _�= <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />6E IN RACEWAYS, MC OR AC CABLE. <br />CII�Y OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />Contact Por.wn (Plan Review) <br />y ceriity lhnl 1 havo road and eznmGied !h!s ap�licatron ond I:ncvi the sanre fo be lrue and <br />pll provislons ollaws end erdinances govemurg !h!s fl'pe cl u�oik will bo, completed <br />�r specified De��ein or noL Tho granting ut a per�ui�f da��s not/nosumo to grve eu[bonty to <br />ur cencef fhe provisiau.ol any nther sl�fe er locai iacv rogu nling consfruc0on or fhe <br />�nnce ulcerysin�cGw� 1 hof I em au(h011zed, 6y fh0 o�ner o( l/us propeRy fo peAonn tho <br />�r �vhlcb aNfl�e�tio�is mndc end J ro�tlply v.'dh (ha S'ta(e Con'ractor's Law i8...7 RCLN and <br />/� <br />FEE -. <br />.5'6 m� <br />,I�i2,�a5 <br />� <br />