Laserfiche WebLink
�� ELE�TRI�A� P�I��lil`� �RIPLi�AT�01� <br />�� C�T`� Ci�' EVERETT P��4MIT SE�VtC�� <br />32Qa C�f7AR STR�ET, EVEF�ETT, V�IA 9820'� <br />4��-257-88.1 �- FAX 426-257-8��7' - wvuw. everettwa. arg . <br />� � �°�., :�''�-�t �..�.����i ��_��` � �.����'-� <br />PROJECT ADDRESS <br />��� �'� US1l�l C ��'i�-t� �.t'�___ <br />Ownef .' MqltAddreas Cfty ; 9tate,l2ip Photse <br />TenanY - : MailAddress Ciry ` StafarLip Phone <br />� v ; � � � � �_,�.�, � � � � ' "�+' �� �_� � � <br />�G � �� 1��%�l�C�. �� �'�.� `�!� '� � �� �' / #�i� <br />Elecirfcal Contractor MaII Addreas= Ciry , Skate2fp Pboqa <br />�tV� �'��'� C�2C�2..c.�'�` <br />State Licensa N�rmber"(requlred� C►iy o� �verett Bus�nass Ltcense t�umber (Feq�tlrei� <br />: P�FA-�.�r��r ���a�... � 32� .�a <br />E f� Proposed Use of Building Contrad Prt�e of W6rk <br />` . 1�i��J WALI ��+� 425- 2l8',e� ��' <br />Square Footage (if residentlai new constrZtcklon, �emodel or addlilon) `' Ca�faaf Person(�ontact Number/Emat( <br />r � <br />N mber o devicea if low volt� e <br />U ! �) <br />Dascriptlon of Work io Be Done; _�.� �V�'�' �������..� "� � (��1(�� �; -j �-y� j � �.x� <br />;, : � <br />��E <br />CiTY OF E'V�RE'i'T LQCAL. SA,LES TAX CpDE IS 3105 { � <br />,,, +�r 1 'i"'� ; �., <br />����� . . ''� � ' � <br />1 harehy ce�tlryr that�t heve read arrd sxamtned thls apqllcatlon and kt�ow the same to be frue snd <br />� ��.� � <br />caReci Atl provistons oflaws and or�ifnanpes gaueming,tttis type of�votfcWltlBe coltipteied '` ------- _ <br />whetherspecl�ed hereln or not. The gt�snfing of e permit r}oes notp�sume to gtve authorit�+ fa PERMT�}"# <br />vfvlafe orcancel the provfsions ofany otherstate oriocallaty regulating construQFJon arth� ��� �r �� <br />perforrriance o�construcflon. T�at! am aulhatized �y the ownar of thls prr�parf,y to pertorm fht� � Q <br />work fot�tivhlat� app!lcation !s rrrade antl l comply wjth fhe Sta�e Contrttolors L"aW 7B.27 RGW and �' - <br />296.200 VIIAG. __ ..�... <br />flit.,.�r.,r`,�.•�-- �J' �' ��J <br />�_ ___._..� gnatute __�'1]�ta _.._ <br />Rsws�a'a�rotr�aaft , <br />._._w�_�. _. _ —. �., �.� �.._.__ �.»_. _ __ ��.. �. _:�__� � .._.__�__._._„� � <br />'s�� �'�` _ : ����,� _ �_, __._ <br />