Laserfiche WebLink
_, :�: �. _� .-., �r.:, .. ._� _�... __5:... --_'-'.-- "'- . '--' " ' - ' '`' <br /> EtECTRIGAL PEi��ItltT aPPLICATION <br /> CITY OF EVERfTT PERMiT SERVICES <br /> 3200 CEDAf2 S7REET, E1/!=RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-P857 —www.everettwa.org <br /> �-(�v7 1�e�GWw'e ��/'G � <br /> PROJECT ADDRESS . <br /> �j'�v� 3 �a�� �ar'la7 �e�.1�-r� r,.e e✓v�e�t l✓A• c,ZZo3 y2s 583-�Z++ <br /> � . Owner . MalAddress City � . SUte2ip Phono <br /> Sc�� � <br /> � Tenatlt Mai4Address . City �atPJZIP Phone <br /> i <br /> I i��nne�So., e%c'(��'c (3�i N ol�..F;r A��' �:.�� in�R S�ZZ 3 36�'`�3f 5�2� <br /> � f_Ie�dfiCalCOntractor � MsilAddress.� Ciry �SlatelLip Phone <br /> 'I �o�ne i J,-IyPZ �' ��� �• <br /> Stete IScense Number Controct Price of Work <br /> I�'�SP <br /> Proposed Use of Suitdu�g ConYact Person (Pian Review) <br /> Square Footage(If�esidential new constniMion,remodel�or:additlon) <br /> Number of devices pf tow voltage) <br /> Oescription of Work to Be Done: �e�✓ C� f C tn,��� ��v'E'1C^C� <br /> l <br /> I <br /> FE'e <br /> CITY OF EVERETT LOCAL SA�ES TAX CODG IS 3105 � ; rU Gl� <br /> IJ <br /> I h�raby ceRify that I have read srrd exomined this applicaGon and imow the seme to ba true and <br /> icrorred. All provisions of/aws and orrlina»ces govemingYhis type o/Krork K9U be completed <br /> whefhec specrlied herein ornoL The gmnfinq ofa pero�rt does not presanro to�ive nuthonry to PERMIT� <br /> violata or cance!the provisions of any ofherstafe orl0cal!pw regulatirrg oonstrtrr,tion or fhe D/, r <br /> � peAorm3nce of catstrtfcti TT�af 1 am authaized by the ownerol Uvs pmpeity to perfom�the E I ��f G- Y� � <br /> � wor'K lorv,hich applic `n ' made pry with the SYate Contractors Lsw 1 H.27 RCW and <br /> j 296.20o WAC. <br /> � '�� __ ���7%�3 <br /> i _ g�9nature..... .. _ . _ . .. . _ oate .,. . _. . .. . . . <br /> I - _ _. . <br /> I <br /> � !.'EYl$EO 2:N19 <br />