Laserfiche WebLink
• <br />� � �=C��I '�OC `� �L— � �� '��Vfll��l � ,� �� �0� , �I 0 0 �� <br />�o u�� �� �������� ����o u � �=��o��� <br />3z00 CEDAR STREET, EVERET I, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />V� o� '�p� � c�.� 5 j <br />PROJGC� ADDRESS <br />E��e.�—r �c�L, ��_- ; e..c.� 39 � F3r�E'�l ,�l �`�=,�'r', c,�A Qc `b 2� 9 <br />Ownef Mail Address Cify StatelZip Phone <br />— =t� <br />Tenant <br />Mail Address <br />City <br />Slale/Zip <br />Phone <br />��, ��c�,� �y i�G t bb2� �F lAt[.�. !��"� � ��i.�3vP..�1, l,� C't G�(2- <br />Elecfrical Contractor MailAddress Cily Sfaie/Zip Phone <br />������ ����.�:��� I�� <br />S le License Number <br />�, ` � e-- �OGZi�kd L.� <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />N ��l <br />Number of devices (If low voltage) <br />� fa- � � �--� ----- <br />Conlract Price of Wori< <br />L:,02�c�/ � �-12--�� <br />Contact Person (Plan Review) <br />������ � ��L� <br />Description of Work to Be Done: ��GaT'� � CA L 5�2U �C-t� Z� i � l 9� <br />�� • .a � .� �r. ' ' � � <br />� 5 G'�'E�O L. �iLQ��C�.l <br />CITY OF EVERETT LOCAL SALES TAX CODE 15 3105 <br />! hereby ce�tify that 1 ftave read and examined this application and know the same to be frue and <br />correct All provisions oflaws and ordinances goveminq fi�is fype of work wil! be completed <br />whetherspecified herein ornof. The �rantinq of a permit does not presume fo give authorify to <br />violate or cancel tf�e provisions of any other stafe orlocal !aw regulating construction or the <br />performance of consf�uction. That! am aufiionzed by the owner of this properfy fo perform the <br />work for ��✓hich application is made and ! com (y with fhe 5fafe Contracfors Law 18.27 (-�CW and <br />296.200 WAC, <br />' "✓�" {�-�' _� � � p �o <br />7—� �t <br />FEE <br />����� <br />PERMIT# <br />� 1. ��1 � ' �� �,p <br />