Laserfiche WebLink
' <br /> ELECTF�ICAL PERIV�IT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[E7, C-VER[TT, WA 98201 <br /> 425-257-8r10 - FAX 425-257-8857 -tvv�tv.everett�va.org <br /> 6-�-� - � y <br /> � ��G�: �3 <br /> �oC�10 5��-�vrsf /kr-e� <br /> PROJECT ADDRESS <br /> ^'�g��_r�,�o�b� — �eue.-�t- w��$Zo3— <br /> Ovrf7Cf �.ia���l Audress Cdy Slate/L <br /> P Fhtrc � <br /> I � <br /> Iienant Liz�lACdress C��y SIaIc�Zlp Phcne � <br /> ��PL'F'n C-' � <br /> ' �( 9�L9Z <br /> ir"3G_�I�U/'rJ " o� (��.ki_ �1�.� .S(2wu.� w Pr ��i-231 -�oZ-yk <br /> I1_'eclricalCcNrac�or �.1a�lAdEiess C�'y Sla�eiLp Phore <br /> I <br /> � aSac,�–C� �$"Z �� —J�� "=- --- - _ — <br /> � Stale License Number Cuntracl Fnce ol LVoik <br /> i <br /> I - - <br /> Proposed Use of�wlding Conlact Person (Plan Rev�ew) <br /> � Squarc footage Qf residenlial nmv conslnicfion,remodel or addilion) <br /> I <br /> INumber ol devices(tl low voltage) <br /> Cescription of Work l0 13c Done: _�f�_�� /}�Jp `TS{y4— ___ <br /> htF ��l <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3705 i^�OW <br /> Jf <br /> I heieby ceridy(ha(I have reaJ and examined Ihis applrcalion and know Ihe same fo 6e We and <br /> conecL All piovisinns ollaws and ordinances goveming fhis fype oI�vork�viil be comple(ed <br /> whelher speu6ed herein oinoL The granfing o/a pennit does nol picsurnc to give aidhonly(o p[RM[T;; <br /> viola(e orcancel lhe provisions oI any olher s!a(e orlocalla�v regulafing construction or fhe �I� o / - � � � <br /> peAormance ol constmcfion. That I arn aulhonzed by Ihe o�vnei o(fhis prope�iy(o peAorm(he �� <br /> �vorJc for�vhich applicalion is made and!r.ompty wdh fhe Sla(e Confracfas La�v 18.77 RCW and <br /> 296.200 WAC. <br /> -�� -- ��z� '-�--- <br /> ��anature Uate <br />