Laserfiche WebLink
e 2 ot 3 <br />ftZ069915506 <br />OII/11/2G19 10�.59 AM 1'0.192u2578F36�1 FROt4�. Donna iiarncr <br />ELECTR�AL PERMIT APPL�ATION <br />CIT'�' OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 9B201 <br />425257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� 7/� .C,9,ei�1E2 ,PO Sc <br />PROJECT ADDRESS <br />1�•4.cE l,c�2 so,✓ 67/6 .�.s�,P.ME2 <br />Ownor Moll Addross <br />Tonant <br />Mall Addrvsc <br />�o s F �vc,E'�rT uiA, <br />Gry <br />C1ty <br />s�corztv <br />,s 3S.r-� <br />Phorw <br />Phorw <br />,9.�l�eo ��e�r�.c Po .6'o,r rf� � �ve,c'�r,- �v�/,��.zod 5l s s��, <br />Eiectr:cal CoNtaeta Mall Addmss Ciry � StnteZD P�1O^O <br />��'Y�����/ 7��Q Y <br />State Llwnsa Numbor <br />Proposed Use of Bullding <br />Squaro Footago Qf rosidenlial now consWctlon, remodet or addition) <br />Number of devicey Qf low vdtege) <br />Do,cnption of Work to Be Done� <br />J4'�� <br />CITY OF EVERET7 LOCAL SALES TAX CODE IS 3105 <br />Conlract Pnca Of Work <br />Contact Porson (Plan Review) <br />� �C X L�.s4 <br />! hereby certily that I heve rnad and ezurninod fhrs application and know (ho sarnp fo be We and <br />corrocL All provisions ollaws and ordinancos gavaming lhis type o! worh wdl be completod <br />�vhe(her SpecJ�eti he�tis�; or r,o!. The gr�ntinq ol a pennif does not prasumo fo give aulhonty to <br />wolatu or cancel the p�ovisons o/ any ofhor sfafo or locel iaw reyululiny corub�cYon arlhe <br />peAonnance o/ consfrucfion. Thal l am au/horized by 1he owner ol fhis prope�fy to porlorm fhe <br />wo�fr !w which applicefion is mado and I comp/y wi(h fhe Sfafo Ccnfractors Law 18 27 RCW and <br />296.200 WAC. <br />� <br />2EY$ED 1]J']7 <br />O '-7 "� <br />IFEE <br />T—�--� UU <br />J l/ <br />PERMIT/t <br />El�{����-C��j <br />