Laserfiche WebLink
JUL/23/2014/WED 03:30 PM FPI Seattle FAX No,4252909600 y,001 <br />� � <br />�t�EG�`RICA�. �E��IIMT A�PL�CAT�C�N <br />Clilf OF EVER�TT PERIIIIIT S�RVIC�S <br />32Q0 CE�AR STR��T, EV�R�7T, W/a 98201 <br />425-2�7-$81 Q- F�AX 425-257-8857 — WwvY.ever�itin��_org <br />� S�Z»� �r�� w� <br />wRo,��cr A�oR�ss <br />Owner <br />Tenant <br />�Igctrical Cgntrador <br />Ma31 Address <br />Meil A¢�j�gs <br />Mell Addia9s <br />� 1.���Z 1 wL 1— <br />State License Number <br />c�����:�.� <br />pl'oposed Use of Building <br />City <br />City <br />a c��c 1Zb�iZ <br />Clty <br />5q�are �ootage (If r�Sid6nYial new cbnetruction, remodel or addition) <br />� ' �i�1�.l..��.. <br />Number af dev€C6S (If ioW voltege) <br />Stato/Z1p <br />� <br />Stete/Zip <br />�WA <br />SCste2ip <br />� � �. r <br />Contract Pr�Ce of WorK ^ <br />� <br />Confact Pe n (PI&n Review) <br />� � <br />r-- . . . . .:- �. _ : . • � �a �, r � <br />� -� . ., � •. .. • ' .«� • r_ � • . � . <br />C17Y OF �VERET`f LOCAL �ALE3 TAX CODE IS 3105 <br />1 Reroby certl�'y thet 1 hewe re�ad enci exa�mirted thrs applicai�on srad kn�w tlle s�me to be t�ue and <br />corr�ct: AI! prvvislr�rrs o�lpws errrf nrcllnax�c�s gov@min{/ this fypg of work wflf be �qrnpfeled <br />wfrether spea��rerl her�ln or• i�ot. Fha grsnting of e permiC da�s �ant pr�ume to give� euthnriPy h� <br />alolate nr c�nceJ the prr�vlsians o� any other st8te orioca/ k�w r��ulatlrrq ca»sirusfio� t�r i�e <br />psrforrrranco of consr�wolipn. Thet I�m auFliorix�d t�y the ov�nsr ot this �arop�iiy to perl�vm� the <br />work <ar whlch spplicstic�n rs made arrcl d comply w1Pu bhe State Corrt,�ctors Law i8.77 i2CW and <br />298.200 WAC, <br />REVISEO 3rz0/i9 <br />� � Z3 <br />Pho�e <br />i .,� P�pYe <br />��` �� <br />Phone <br />FEE <br />�� �� <br />P�RMiT# <br />E ��� � - <br />� <br />� p�,..�.�. e�Z� - z�- gt� � Z'�) <br />d <br />