Laserfiche WebLink
$ f r-- ,�; p� �� v�a ,,�� F � "'� � n, ( "t— �-� �s �,� a � �a :. "'p � �,�•� ;" f <br />; <br />, <br />� <br />;• , <br />, i<,_. <br />;, , , . , . —; � �. <br />�I`TY OF EVERETT PERNII`� ��RVICE� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />5� ��� M 1 C�K ��'�1 P��C�.- <br />PROJECT ADDRESS <br />Owner <br />� �Ce�,lf <br />Tenant <br />Mail Address <br />Mail Address <br />r <br />City <br />City <br />�� <br />State/Zip <br />�- � <br />State/Zip <br />Phone <br />- Z�v� <br />Phone <br />� 3 �-�-�.c;� i C� �� Z j j I � ��` �'C, � ���=�-+ ��.,�-- ��`ll.�,� �(2� � ��a °� <br />ElectfiCal ContraCtol' Mail Address City State/Zip Phone <br />� � �� 1..,�.`�-�, �-� �h � L' � �I� `� � �-- <br />State License Number (required) City of Everett Business License Number (required) <br />Co � �� <br />� j `'I (�C� c� <br />Proposed Use of Building Contract Price of Work <br />Square Footage (If resicJential new construction, remodel or addition) <br />Number o devices (If low voltage) <br />.na�e (�� � z <br />�ontact Person/Contact Number/Email <br />�q�� � � � �c�� � t c�M <br />Description of Work to Be Done: �t��� ���� �-���"�� ��� � S�J, � <br />I� �`�,�'��1.5 � � � C2!� ' �it�_ �l�lY�� C1�-- �S�c.>> C.� C—� � � � � v � 0 �.� <br />Qn,����(" ..� ���J ���Ezu i NcLv�D�� c��^�l� �/,�'�Z��C- a�- J}��- �; �PvS� <br />�; ) � ��,�- �� � r� - <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />l hereby certify that ! have read and examined this application and know the same to be true and <br />correct. Al1 provisions oflaws and ordinances goveming this type of work will be completed <br />whether specified herein or nof. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state orloca! law regulating construction or the <br />performance of construction. That l am authorized by the owner of this properfy 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 />n2ture <br />Date <br />FEE <br />.� � v �� <br />PERMIT# <br />E ��D � 0 r z�[ <br />