Laserfiche WebLink
--- —4 <br /> �,�� L��:�� '( EF�,'J�����_- 5=��;; ��.����N :,; ��.��k..����6u �F;:�tl�' <br /> �.'•�'�'�l �� �l/����i r�;���1� ��{��/1��� L p�jD3_t77 <br /> 3200 CGDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.crg "3 ��(�--0 <br /> �aPPLICATIONS ARE ACCEPTED FROII� S ANi TO 4 P�i - DEBIT �:CREDIT CARDS ARE NOT ACCEPTED <br /> 17US P�c;{��c �vtnwc , FJcrci� WF� 482�1 <br /> PROJECT ADDRESS <br /> �6�1M4N��4 I�x�S � 71C7C) µur�lSor {�� EJ<rGtf I.V�# �9•ZOZ `L2S•SNY• ]I00 <br /> OwnC�—� Mail Address Cdy Statc/Zip Phone <br /> Tenant �1ail Address Gity State2ip Phono <br /> �nno�u���c rl<c{��,�Ls PO Qor �0793 L�nwe c� WA k$o36 42S•2Qo•7Yo3 <br /> Electrical Coniractor Mail Address ��h' <br /> Statel7JP Phono <br /> i�i►lnvFin �skr- 14+775 °� <br /> State License�umber Contract Price of Work <br /> u�al�� Guld� <br /> us ��oP — <br /> Proposed �so of Buildinr� Contact Person (Plan Review) <br /> DescriplionofWorktoBo�ono: ��iSFa��aEie p� $4S IZa���' ��^4��`rf $4v��o�S TG(} <br /> u�Ot�.rt„c�„tJl < W�cc., �{ brawc� C�rcu�45 . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO FEE <br /> BE IN RACEWAYS, MC OR AC CAOLE. <br /> CITY OF EVERETT IOCAL SALES TA�CODE IS 3105 <br /> I Yiereby ceriily ihat I have read and examined this application and kno�v the same to be true snd <br /> correcl. All provis�ons or laws and ordinances goveming this fype o/work will be compicted <br /> whelher specdied neiein or not. The granfing of a permii does not presume to give authonty to <br /> violale or ca�ce/the provisions o/any other sfate orloca/iaw regulaling consWction cr ihe <br /> peAormanae o/con,truc6on. That I am authorized by ihe owner o/th�s property to perlorm ihe <br /> work for wLich application is made and I comply with fhe State ConVactors La�+�78.2i RCW and <br /> 29G2G0 INAC. <br /> / a// 3 /6 -G°y <br /> —Si7� �C��Y� ---- Date -- <br /> �U90 3 v7 � <br />