Laserfiche WebLink
�rcr � 01 ;�;701J ' ; � "[1 _ 2 P OOl �fjf;' <br /> _. . - -- - - - ---- _ <br /> -- -- ----- - - — <br /> I - ---- <br /> ' EL�C�'FZI�CAL �'ERIllli`� �i�'�'L.I��a�'IUN ' <br /> i CITY OF EVERE7'T PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 • FAX 425-257-8857 -www everettwa.or9 � <br /> I <br /> , � , r` 100 <br /> \ _�1G -��rl?.u.ti�;? u �i1rPv�' v�s i <br /> PROJECT ADDRESS <br /> I <br /> iO+:ner 1JaJA4Cre55 CiN Staie2ip Pnone � <br /> � �?uc� e�' l_��f'v�DcQCe � <br /> � iw�ant tdailAtld.�c„ Gty Sa�c1ZiD Phone <br /> � as� <br /> \�4nc xt-, �-_�vr���c. �1 0 �� u �o�� C�1�\�on �P q� -, :,�� a'c�t -I� I ! <br /> icleetr,c3. CONractc� �da�i�ddmss Ciry StalrlZip Pnone � <br /> tl�,a c_��Ec��:�x�� a 5sr.� <br /> i State L�cerse NumCer —� i <br /> CoNraCt Pace of WOrk , <br /> I � -t�'�\ C➢ t�lv .r'� �,�2�GT1 i <br /> Proppsea Use ef�uilding Contact Person (Plan Rev�ew) � <br /> I <br /> , Squarc Foc'age (II residenliai new construchon. remoaet r,r adddicn� I <br /> I i <br /> ' N❑mber o�deNces(If�ow vo!tage) � <br /> I � <br /> Descnpuon o'Work to 8e Done � <br /> � — � _. I <br /> i '��i,s��L1 r\ w� c'_c,�v�t4 ��c . J� �� �1r---�—`��`�� �—o '�* <br /> � <br /> I <br /> rec ! <br /> � GiTY OF EVERETT LOCA�SALES TAJ(CODE IS 3105 ('� —� � <br /> �naroUy cer6ly fhat l h�vo mad nntl oranrtned(h�,ar.rlica6on and knn:v;hc samo to he fitir, ond �� <br /> coirer,f All pmn.,rais ollaws and ortlinances 9nvominy Ous rype nl worh w�ll be comp�efed — --_ <br /> � whMlror spaclliod hercm o�noL The yrunfing ol a pnnml dor,s not p�usum� to yivo uufhonry fo PERM�T# <br /> vlo�afe or cancel fhu provisrons o/any ofher s(ote or locallow iugulat�ny con;Wct�on or(hu r � � ' <br /> perlom;:ance o!consfr�c0on. 7haf/mn autnori:ed by!he ownor ol fhis property fo poAorm tl�� E l � �I� I i <br /> �vurt '.,r which applrcuCon �s matle and I comply wdli fho S(ate Controcrors Law 78 27 RCW and <br /> 296 2C0 WAC. -- <br /> , � ,. <br /> ��� /�r'_-=- % Z 7- ;�� I <br /> SignaWrc - Da�e — <br /> i <br /> I' ,:o..�..�cr la:v i <br /> ____ .—__.'--_" '__"__._._ .__ _ — , <br /> _'_ '_'.— __' ._. _. _— .' . _ "—___'_._—_ ' <br />