Laserfiche WebLink
�-'J p �-- ,�� " ��; � .'"c /� t �j ""- (� �"` r? e t�- �� � � ' � r� � � �'; '', i <br />; i <br />� � � . ___ <br />• �—, � � � � <br />` �_ <br />. � � , � , uu , _ , <br />. :_,_ . . .� � �.�.e .. <br />Clii'Y OF EVERETT PER6VIIT SEt�VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� � 0 3 3 �7-r�c-, �-�� s� <br />PROJECT ADDRESS <br />K��� �a���5��e „�33 -r-� A�� 5� �� c�.�,► r,�� g�zo8 RZS 933-y�o <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />Ciiy <br />State/Zip <br />Phone <br />�r a�ec� �.. ��.¢- Z2�3L (o (� 8 A �E S�� ocy A �.�T W� °l �3 2 ZS 3- 3 g 8- �o sa <br />Electrical Contractor Mail Address City StateiZip Phone <br />�(�oTEb A��3�3� <br />State License Number (required) <br />�cM.h.e G � c� I <br />Proposed Use of Building <br />Square Footage (if residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />�� I �� <br />City of Everett Business License Number (required) <br />�/cx� a%- <br />Contract Price of Work <br />—i' C'�� oA-/ `�Z S- y33- �oa d <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: /q�cQ (Lq,�lo Cc�n,o.ua,� �t-rC�� `fo �'c�.� A��4� "ra F«�+r��'r� <br />G I,uGS . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />l hereby certify that ! have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveming this type of work will be completed <br />whetherspecifed herein ornot. The granting of a permrt does not presume to give authority to <br />violate or cance/ the provisions of any otherstate orlocal law regulating construction or the <br />performance of construction. Thet ! am authorized by the owner of this property to perform the <br />work for which application is made and l comply with the State Contractors Law 98.27 RCW and <br />296.200 WAC. I <br />re <br />REVlSED 08/06/2014 <br />k Zo�S <br />FEE <br />�i�,�� <br />PERMIT# <br />E �j ��0�, �(�� <br />