Laserfiche WebLink
CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> Com, <br /> PROJEppCT ADDRESS i I <br /> prou <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address city <br /> - i State/Zip Phone <br /> 200 <br /> Vi- -+r �'C�:W <br /> k( - I �JUX aoq(o e- LOA 9810 C <br /> k( Leto-S2OU <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> CA -�_c- <br /> -L 5L{2- <br /> State License Number(required) City of Everett Business License Number(required) <br /> 0, Z OU `--" <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: bre (- , C6yJL' "4- -4- <br /> L -L V\� c JCc <br /> FEE <br /> C-Y( <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 -/ <br /> 1 hereby certify that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the r t l5bq 2l Ci <br /> performance of construction. That I am authorized bty the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> c? Z� I `— <br /> r � <br /> el Siylalure D to <br /> REVISED 06/06/2014 <br /> I <br />