Laserfiche WebLink
U1 'Oi-201y�0 11:��4 F.�iS JGbli1JJ�1� fi.a\50A SIGA CO �'j00? <br /> 'T i Y � n �'l ���7rr w�� � � A5 iYyr ` 'a <br /> . �� 1���'�# i i�,r5 ,�!�h . �: < K <br /> t > ft � �.T ei � hi � u}r, �y�it+i1E,.. '� it {'�. 7'��rr'�'M'�Mry )^ � ~ � � <br /> � j1 j � �. c J.' � �� ;. 3 -� .r. ? '��g'�'�t�' i� , �.' � �'. � lx� 1)� i h'�++�t�3� �,:. . ���� <br /> �F y, � � '�' � . . . , ' �u� � 'u�r�i��.tii.-,'�r ,t�� fi'�,�jyY �'� �1fi�J ��i� �Y1;'�,: <br /> � �� �t`1•i ,� i� t, , •:, 57 :, < <� "w <br /> F ,�y, r i 3} � � y �Lf e r i �•,{ H'S � :;i . <br /> . ��L�CT"RICA'L P��R�IV�;. r��`��p�L,� f� ,i4Y�tx ,� . : � . <br /> GI'fY OF EVEF7ETT P�RIVII'T`�SERUICES <br /> 3200 CEDAR STR.EET, EV�RETT, WA 98201 <br /> �` 425-257-6810 - �AX A25-257-8857—www.everettwa.org I �l�1� ��: <br /> , ,' + _ APFLI,¢ATIONS ARE ACCEPTED:FROM B AM'TO 4 FM � <br /> I� 7 .`� - ��)PY�TT 1`�1(7�II _�, � ! . . <br /> PROJECTEIDDRESS �� _ <br /> 1���ve5s �e.��(Q���s� PL �JE �,'�r���a��d 1� Q��3 �, <br /> Owner� �'. � MoilAddro�s_ Cily � � Staterzlp ' _ � Phone�� � <br /> �nA-� �PS� �.�r��- �aOI s� ��Y�,�4- MaII� v� lA ����e�l- w � <br /> Tenant —�1 ' MailAddress. � City '. . Stat ZI/e p� .� . .� ��p Phone� � <br /> 1�0.v�so� S�c� � _��O .�nn Rd� �:��� ����� k)� c(�383 �`Rs;s�j. <br /> � Eled�icalContractor�. �MailAddress � Cty Slale/Zlp . ' Plient <br /> I� � ,vsc� s�, � o� �7 � ���o <br /> Slaleticense�Numbor � Contract Prica oLWork� . �, � � <br /> �S�LI-_��I-��' P ��� . <br /> Propos�d�Usebf6uilding � � � ConlactPerson•(Plar. 'iew)�. <br /> Description of Work to Be Done: �e. - 1 Y1 5� ��I F'iG /�X/1 1� f`f�,�S�l /I� <br /> �k �cs � ) nJc C�i � ; �- <br /> NOTE: WIRING IN NON-DV`]ELLINGS IS REQUIRGD TQ f�E <br /> DE IN RAC[WAYS, MC OR AC CABL[. <br /> CITY OR EVERETT'I:OCnL.SALBS TAX CODE IS 3105 � . <br /> I h3roby cedify l/idf I haye raad pnd exomined Ihis appliCAUon andlcnow fho same fo he truo and <br /> co�scL AO provisions ollaws and orrilnr�rices governing fhis fype of work will bv comp/eted <br /> whr,therspeclfic�l imrein ornot. The c�rt�nfing of a pvRmt does notp resume to give dufhonty lo <br /> violede�.orr,ancel fho provisions uf dny olhersta(a orlocAlla�rre�ula(ing consWc6on orfhe �' I /� I_ � <br /> pedomiance o/corisfruc(ron.. That l am aufhorizud by tlre owneroftbis property(o peAom�fho C1 Q�/ � <br /> wo�forwhicli.applicafion�is mado and l�.compty�wi(h O�e Slofe Con6acla�s Law 18.7./�RCW�nd � - - . . . <br /> 2sc..00 w�c. <br /> �� � � �/� <br /> � Siyna urc le � . . . � . <br /> � <br />