Laserfiche WebLink
J�1.22, 201�— 8;18AM Cit of Eve��Ett <br />� <br />i <br />No.0492 F'. <br />��ECT�ICAL P�RMlT APP�.ICATlON <br />CI�Y OF EV�R�T�" P�RMiT SE[ZVICES <br />3200 CEDAR STREEi", EV�RETT, WA 98201 <br />a25-257-8810 - FAX 425-257-8857 — www.everettwa. org <br />ApPLICATiONS AR� AGC�PTED FROM 8 AM TO 4 PM <br />. -.-i i ��� � �� �,/ �, �� �, <br />� ��i � r \- . !! ,' ��'r �� ' , <br />PRpJ�CT AbDRESS . � l��" " � f <br />� <br />Ten3nt <br />�Lr�_ _, . �3�G4`f � <br />� MaUAddress Ci�, <br />Mal AddrBss <br />� <br />c ��— `�,�. ��: <br />' Nlail /iddress <br />� C• ��� r- C� � C..- � <br />5tate License IVumber <br />l �5 , -��� ! � <br />Propo d Use of Building <br />ciry <br />f, , <br />� . � c�hc�Ct°��Cbc' / <br />Cfly <br />StatelT�p phvne <br />SlateiZip Phone <br />.SGs ,��:.�. <br />(�'"_ �'' 7'1 ! `L ���� `l <br />Stalerllp Phone <br />/:S�G--c . r.��, <br />Contract Pricg of Work <br />��yl�� .' ��� -�c� „�- 3� �� <br />j <br />Contcict Person (Plan FZeview) <br />Description of Work to Be Done: �' - , •�,�1"L�l� r\: ��! �n �i �— � � j` <br />r . 5��./..�:. c-� <br />� � � � � / C f \` <br />' ��� �f_}. V�l � f� � 1 <br />NOT�; WIRfNG IN NON-DWELLINGS IS R�QUIREp TO <br />BE EN RAC�WAYS, MC OR AC CqBLE . <br />CITY QF EVER�TT LOCqL SAL�S TAX CDAE IS 37Q5 <br />I hareby certify fhat I have resG and exarnined this applicafion aRd know the ssme fo be trtle and <br />cor�ect. A/I prnvrslons of IawS &nd ordlnarrces pvemin thfs <br />whe�h�r specrfi�d not. The granting of a pe��t does not pre� e obg ve°a �r��ry �a <br />vio/ate or�nce ha provl ns of any Ofherstafa or locel law �gu/eting constructlon or tho <br />pe�am�ance o�S�rU�;Q , Tf�a[ ! am authonzed by the owner �f fh�s ptOp@rty b perform ttre <br />296.2d0 WAC application s r�r&de and I cornply wlth the Siate Contracfa�s Caw ?8. Z7 RCW and <br />. <br />0 <br />F�� <br />�- �-,� ��`�) <br />J `; <br />� <br />�t� 1 ��C� � �a �-� <br />� d LLL9bL9605 � �I��r qo8 <br />� <br />� <br />� <br />� <br />�90�80 � � ZZ I�� <br />