Laserfiche WebLink
d25-252-1G66 CMHEATING 07�30d7p.m. OA-13-2G15 2/4 <br /> ELECTF�AL PERMIT APPL�CATIOiV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> �—l�//5� <br /> ► �� ��f �✓e � is��o�� <br /> PROJECTAODRESS <br /> �-+ .5� 1`�Gt���i St2F2t.e �fZS 57>S 7�P�-7 <br /> Owner hlail Addros� <br /> Clry Slale2ip Phonu <br /> 7enanl Mail Addross <br /> Clly Stalu2lp Phonc <br /> � �M �ea�inu Inc. 1�15 P�r��,u E,��.�-� WR q8zol �a� 2�q c�l��� <br /> FlcrincalConlraclot MailAddm;s . Clly � SIaIc/Lp Phono <br /> cm►�r��}g�7 D►� o r (�oqS <br /> Slale License Nu�nber(reqWred) City af Evaretl Business Llcenso Number(required) <br /> 2� �' <br /> Proposed Use of�uilding Conlracl Pdce o(VJork <br /> Square Footogo(il re;Idenliai new con,trucfion, remodel or addition � ���r ��� � �OS�� <br /> � ) Contacl P�ronlContacl Numhr.r/Email <br /> Numbor of devices Q(low vol(a�e) <br /> Dc,cription of Work to�a Done: '�' !�� I/ ��/e,� ��1��v�Lp—� <br /> I <br /> F[E �y, �c�c� <br /> CITY OF EVER[TT LOCAL SAL[5 TAX CODE IS J105 ,FF.� (,C./ <br /> h�' _ <br /> I horoby cwti/y lha�I havc roaJ and oxarninedlhis applic�lion nnd kno�y fho sarnu fa bo fruo and � <br /> conact. /11f provisions ollmvs nnd uNinm�cos goveming(his fypo ol work will bc complo(od <br /> whelhorspoci�od honiln ornol. ]"ho�ranfing o/a penni!does not prusunm(o givo au(ho�i;y(o pERMIT# <br /> violaf u or cnncoi fhe provislons ul nny olhor sl a(r. o�lo col lu�v�gulafing consfnic�ion ur(ho <br /> perlonnanco of consln�c(ion. That 1 am auNionmd bylhc o�yn�r ollhis propoity(o pedonn fho E I�� �� <br /> �vo�k(o�tvhieh epplica(ion!s rnado und 1 comply tvi(h tha Sfolu Con6ac(ars Law JB.D RCW anJ �- <br /> 296.T00 WAC. � <br /> .� � <br /> SIgn�1u o ��5, ,/� ��/ <br /> V U�lo <br /> an��srooacr✓rnu <br />