Laserfiche WebLink
• <br />! <br />� � �, ,; �= ;; .. �;: 1 � <br />~ 4 = � , _, yx <br />, -, <br />� �� <br />CITY OF EVERETT PERMIi SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� I � I�Act FcC� �v� <br />PROJECT ADDRESS <br />f't2oUt p�NC,� ( Zoc� l��` 5T- �vcl� T� UvA 4Z5 2�� 7�11 <br />Ownef Mail Address City State/Zip Phone <br />(S WS ��✓�� t2 ►'-�-X 1 d 2v� Nc C 3 2�0 1�C ��e ��h�p �,�; A �2.� � 2� 2��- <br />Tenant � Mail Address City State/Zip Phone <br />.MGk��s�l�� �c`;v� e��� �v�� 5� ���iL� <br />Electrical Contractor Mail Address City <br />N[� l�. i� c�� �� z r� r� <br />State License Number <br />M � �-� �I�,� U �( ���cr �r � <br />Proposed Use of Building <br />�� � o�� <br />Square Footage (If residential new construction, remodel or addition) <br />�J� <br />Number of devices (If low voltage) <br />;� � �6 1�Z �311 <br />State/Zip Phone <br />� s, CiC�n, �� <br />Contract Price of Worlc <br />T�p (,�� rT� Zoco ��(� 3��s1 <br />Contact Person (Plan Review) <br />Description of Work to Be Done: l S�1—✓� Z� ��� S� ��� ���� ��� ��--�� C� ��-U l%�� <br />�0 � Ll!'J v�? (7 t� �� i--( "f l o sJ b�' 1 �% T�� 1 c� 62 L� �-I - l�- S. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined fhis application and know the same to be irue and <br />correct. All provisions of laws and ordinances governing this type of work wifl be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority fo <br />violate or cancel fhe provisions of any ofher state or local law regulating consfruction or the <br />performance of construction. That I am authorized by the owne� of this property to perform the <br />work for which application is made and I comply with the Sfate Contracfors Law 18.27 RCW and <br />296.200 WAC. . „ , <br />Date <br />FEE <br />�q 250 <br />PERMIT# <br />Eiy-�3 - �IZ <br />