Laserfiche WebLink
_ ;' � <br /> ��v �'�� ---- ----- <br /> 3 2p11 � <br /> � °�� PPLICATION <br /> Pv��,` ��CITY�OF' E ER PERMM T SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> �I 425-257-8810 - FAX 425-257•8857 -www.everettwa.org ����-g —�/ <br /> I APPLICATIONS ARE AC:CEPTED FROM 8 AM TO 4 PM C���Z .•/S3 <br /> �' ��a �5-- ► �� ��, r> >_ ,5 � _ -7 <br /> PROJECTADDRESS � ��S ✓��/ <br /> n 7� � ��,c � I 'i "��I- F �l �r,_t-�� f ����?C��L� <br /> 70Sy <br /> f� i�l�cllc �c�.���rnc ,���?��-I � �' --�— <br /> ISlalel p Phone <br /> O vner Mail AAtlmsS ���Y <br /> ��� StaleZp Phone <br /> I Tenant Mail Address 1' <br /> Ir -�>>,,ciS�l, ..-. � � �A �1 ��7� •'?���H`fSc�S'€�� <br /> I t� �l� c '�l'l�l�, 1?� I S �"�i S�= ��_�_��..�,� <br /> Electncal C nlrar.lor _ <br /> A1ad AAdre.ss � C�ry Slate�Zip Phone <br /> �, � , '� � C i �_, � �c ���l'S <br /> � Sla�r, L ense Number Coh ra�i Pnce of Work <br /> �, proposed Use ol Buildmg Contact Pnrson (Plan Revlew) � <br /> I <br /> i� � �� � <br /> j Descnptwn ol WorY.lo Be Done- ����� j ��C�C���� ��L� � . <br /> ' l� � ct � �_� �� M��i � �� Q. �t ��� � � �{ �rY� <br /> NUTE. WIRING IN NON-DWELLINGS IS REOUIRED TO FEE ^ <br /> BE IN RACEWAYS, MC OR AC CABLE . ` OdV <br /> J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 - <br /> � I Irereby r.ertAy Ihat lliave reaAend exarnmed N�is apphce6on and know Ihe s�:ne fo be t�ue an�i � I I I � _ I �� <br /> correcf. P^J�rov�sions ol laws end orAmancos go.�ern�ne�this fyPe ol worF wdl�e corrrpleted <br /> v olafe oscanr.�Ihe�Qovrs/ions o/eny oflrer�stare or loca'I aw rey�I�IC 9�consfri cf nA�ur�fhe� fo <br /> , perforrrrence ol consf�ucfion Thaf 1 am aufhonied by fhe owner o/fhis property(o Periam fhe <br /> wo�6 /or whir.h apphceiion is mede snA 1 comply wifh the Sfafe Conf�ecfMs Lew 18.27 RCW end <br /> ' 296 700 WAC. I <br /> 1 � , ,__--_ � �l -a�, � � <br /> �Signalw Date <br />