|
l2/14/J010 12:10 PH FkOH: Fax M�nt Elec[ric, Inc TO: 1425?578As� CAGE: 002 oF 002
<br /> � �'
<br /> �L.��l"RI+C�Ai� ��F�II�lT �4�'F'f����4�1�[V
<br /> �aTY OF EVERET'1" PERAfCIT �ERi/ICES
<br /> 3200^EDAR STREET, EVERETT, WA 98201 /a `'�y/�
<br /> 4?_5-?_57-8810 - FAX425-257-8857—www.everettwa.prg ��O�Z,,,��
<br /> APPLICATI6PiS ARE ACCcPTED FP.OPA B AM'f0 4 PM
<br /> -, .+- r^�1 :Y'
<br /> .�,,.. �� .. f 3 rv�. �
<br /> �. l. '' , �..�J ,l�j: f.✓' ': 1. _. t ..i:
<br /> 1 -
<br /> PROJECT ADDRESS �
<br /> y:. .
<br /> .;• r,. ;: ; ,-.
<br /> �, ., .. . , •• . � ,
<br /> , . �i:'.'1V�(Y �;�:�(i j .. J,���j.�.:_...:.
<br /> iMner , Mai!Addre^.s Ciry � SWle2ip Phano
<br /> � ,
<br /> rd : � �, a"' ..2' .;i...;��.
<br /> � � //�. ti - r / � . -.f L A � .*;' �
<br /> I����f:1���� . w/ r . y/�� l f 1J., i�•''' �,•��':�� 1:� �� � �^ ..ti. 1
<br /> Tenan[ `� " Mail Atldre,s ~ ~ City' ' Sta�e/Z p � , Phone
<br /> Merit Electnc, Inc. 1 J029 36th Ave West Suile D Lynnwood WR 9803G (425)775-1356
<br /> ElectricalConirador MailAtldmss City Stalo/Zip Phono
<br /> �(r."
<br /> iv1ERITF10.4BQ �:*�r"p ,' '';:'�.•.,.-.
<br /> f,: -'�..
<br /> State License Number Coalract Prico of Work
<br /> Propased Use of Uuilding Contact Person (Pian Reviev�) A
<br /> "j- , ,» '- ` :.5 . ,� .
<br /> . Y �,.:.: . - � , =7 �
<br /> DescriptionofWorktoBeDone: � ,",;:, r �i:,� r . • �, �i,�.' �;. ;: "?-' : a�� '- `�
<br /> �'i��;•r� _�� �'�tj�f��i��'• �F�� �,�`�,,Y • _ 4 j•
<br /> NOTE: WIf.ING iN NON-UWELLINGS IS RE�UIRED l'O FEE
<br /> FlE IN RACEWAYS, MC OR AC CABL[.
<br /> CITY UF EVERETT LOCAL SALES TAX CODE IS 3105
<br /> !here6y r,ertily fhaf I heva read and oxamined this application anC know the samo to be true and �, U1 Z- �J��
<br /> corruct. All piovlsions oflaws and orUinance;goveming this type ol work will be comp/eted
<br /> whs(her specified herein ornot. The�ranting o/a permd does r.ofp resume fo givo author.'ty to
<br /> violateorcencellhe p�ovislonsofanyothorsfateorlocallawre�ulafingconstructionorthe
<br /> peAormance ot consiruction. Thal I am aulhonzed by the ownsr ol this property to perform fho
<br /> work!or which application is made end I comply wilh the Sfate Confrac(ors Law 1827 RCW and
<br /> 296.200 WAC;...._.
<br /> � .�.
<br /> .. _ . ,. ;'r.::�;:
<br /> — .:•siynam� � o�ie
<br /> I
<br /> �
<br />
|