Laserfiche WebLink
. ; .` , `. _� .., . ' � ,•�: ` ._ , y, :�° `�� : ; j' i• <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�-� � �'' Nc�' �` `� � �� � <br />PROJECT ADDRESS � <br />C.J v�'1+� ��' �,` r' E�' <br />Owner Mail Address <br />\ <br />s`j � � '�!:%L ' Ir ;..� <br />-� -r y � <br />Tenant Mail Address <br />City <br />c.:� ��� y � /I i�c, <br />C ity <br />State/zip <br />���� �' / � <br />��� ��.� r �'� �� � <br />State/Zip <br />Phone <br />Phone <br />�'�..� �� � � �' � i `, , �.� � �1.�� � �% �C�i .�- �'1V��/ � / � \/%1 �l.'� �iA.1'«�iZ°� `- � �� / 1 / (� �"� 1��� '� <br />f <br />Electrical Contractor Mail Address Cify State/Zip Phone <br />�" I�l ; �--�_ v� ! � � � � � � � � O � � <br />State License Number (required) City of Everett Business License Number (required) <br />� �, <br />���-�j . <br />_'7_ L` ` `' <br />Proposed Use of Building Contract Price of Work <br />Square Footage ()f residenfial new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: <br />cc C �' <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contact Person/Contact Number/Email <br />1 r^�' �'e�F= � � � l �� �, <br />1 hereby certify that l have read and examined this application and know the same to be frue and <br />correcf. All provisions of laws and ordinances governing this type of work wil! be completed <br />wheiher specified herein or not. The granting of a permit does not,vresume to give authority fo <br />violafe or cancel the provisions of any other sfate or loca! law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which applicatior�.� made and l comply with the State Contractors Law 98,27 RCW and <br />296.200 WAC. % i <br />nature <br />REVISED 08/06/20f9 <br />FEE <br />� �' d � <br />PERMIT# <br />E �I��1`D�� <br />