Laserfiche WebLink
To Page 2 of 2 ?014-1?�Oa 16 45�Sb(GMT) 1888b574196 From�. Davitl Wyatt <br /> ��������/"�� ����� 0 I"G����V��'�.A� <br /> CITY OF EVERETT P�I�MaI' SER1/IGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-6810 - FAX 425-257-8857 -vnvw.evarettwa.org <br /> � <br /> �,�,�� p��, c; T)R - Ev,=�e+k, (�,�.'+ . `i'62o� <br /> PROJECT ADDRESS <br /> ''' 1 • , _� } 5 I �r _, ���if_ i�iC ���II P�. , ���v�� <br /> �c�c: ,- _,:� :�_� <br /> �o�. 2 i� ; L�,I,� L�'� <br /> Ovmef MailAddress Ciry SlatelZip � Phono <br /> Tenant hiall Adiress City Slate2ip Phone <br /> (3 Ga) <br /> ! ,+, .��� -}-�- ��Pc� rlcT��c. - . OS.'�ax � - G.-o.,,�k � �nl - �. I .-Q4i252- 454-0�-11 <br /> EleCftica Centtactor M1taitAddress City SlatelZlO Phone <br /> t .�Y"�TTC r��5'PD C�5 "i — ?_ 2�{— <br /> I S�ate License Number(required) Ciry of Everelt Business Licenso Numhec(req�ired) <br /> -� �� , F�GO.00 <br /> I Proposed Use of Ouilding Contract Price ol VJork <br /> !/i /i' �i�n-�i �—}-1)� �Ci�l(.� -����•j <br /> Square Fomage Qf residential new conslruction, remodel or addition) Gonlact PersoNCantact NumbedEma�l <br /> I Number of devices(If lol•�voltage) , <br /> �escription of Wort;to Be Oone: �� 1 " ' ��I �rt���/-i'��%st f'rt-! . <br /> I <br /> I --- FEE � I <br /> i CITY OF EVERC-TT LOCAL SALES TAX CODE IS 3'105 �5�a <br /> !l+e�eby ceAi/y lhef I Irave�ead and examined lhis applica!ion end lmo�v fhe samn ro be tiue and <br /> cunvcl AI!provrsions ofla�vs and ordinentes�oveming thia fypo ol woik will bo compleled <br /> •. �ahether specified hereln ornoL Tho gronfina ol a permlf docs not presumo fo give au!iionry to PERAIIT?i <br /> violato o�canco/fho p�nvisions af any ctherstat�ortocalla�v ier�ulxling conxtnicfion or the I J <br /> poAormance o(construcfion. Thet I am autliorizod by the o�vnero/thts prop3rfy to per;orm lho E W I`I I 2 — ��� <br /> wcrk lor�vhi=h applica 'e s maoe and 1 comply wifh(he Sfele Confractors Law 18.27 RCw�and <br /> 296200� <br /> � -� ,���` � '? /a %a�/�� <br /> Signatwe. Oato <br /> / <br /> PF,YI�O°9E:ON I <br />