Laserfiche WebLink
�L �� � �����. ����I`� a�►I���.r� �`l� <br /> CBT'Y C)�' E'�IE��TT' PEM��IT ���V10E� <br /> �200 ��C�A}� �'�'f;�C�`, �V�f��1"1`, WA 982Q1 <br /> 4����57-88`1Q - �'�1?� �1�?�--��r�����` �- � % � <br /> � .�7 - �� 't,:��:r � �� �-� � �::�"� �,4Z�,?. „2 :i <br /> �.i'1�E.i,;(� ��. +r GE,f�l"� T"�', ` c.1t� ' 4� u1 �� ��� <br /> t y" �r� � +�-'t�f:�i`+;E�"�i C�'.fe:? �J 1� <br /> �� <br /> � a j_ � 3 � <br /> � ""- y .�t,'� _ v�� <br /> '..>�.T`.`TY.c--.^'�:fC.�r'�.^ T._�.��"'��'e-�_...^^e-.�v,;•�-_� _.. _ __ . �.__ .. -.-_.��-�-�-.e;yew.��.Rw <br /> f��C�J���"A,DDR�SS <br /> � E"�1s� . ' ��P ti¢�F�` I �?rj '� �,;�� z ,-�=-, � r'. <br /> ,� at;<� ��R�� �y �-�;i ( <br /> _��.�n� �;..��<�.:_�-.�-_�--�<.r �_ <br /> � � <br /> ��anar .�-__ ._�.�,_,.-,._-.�..a.,��.....�.,...,-� _. .�-,..-,.-,�.-....�.� _ _. �.�.�.�..... <br /> ftlail k��ldress ��a��,�'�'� <br /> y .. i �/ .�j �;if} �tat�/"l.i�a����� Phon� <br /> � ;��i�;Y��.�di� �v�'��P�-� ����;i9�Z • <br /> � - t('°°��'i"�i � {�v �>> � �'__ .. <br /> -��,.�. .� ..�-..-><�..�._, �',..�--. <br /> � M�-...s..�-�-.�._,.. �_,..._._.._,.,,-,�.x.a�.:.,,._.�,._-,,,,.>� <br /> -, _.. . �.-,�.�,.......=..M...__ _ <br /> `�Et l'�I'I� ... <br /> - �'�I���A�C�fC?SS _. _. . <br /> �ifY State/ZiP �tion� <br /> r4 . <br /> �'�'l��lf:i����? �,��'T)�1�, %� i '-��1� �? <br /> (G l;�X � � I;�; 1--�,��+1�s.�J � 4; �•,, � r,-� <br /> ., �, I !i G�,a U, a- <br /> ,ZS) cZZ�2c� IZ <br /> EleCttical �;ontractor Ma11 Address City S ta t�/Zip �hone <br /> �(`•'�_,�'�j��L�' ;( ���� �..r`� � 11'"l: i `1 <br /> �tate Ucen�e Numlaer(r�c�uireci) G+ty af Everett Busir�e�s l.icense Number(required) <br /> (�(? k <br /> t�4 Y��I L.��J.�;I"��`�j r 'u.` �' + �'�. <br /> -�� <br /> Propased Use of Building �ontract Price of W�r�k <br /> � �. .__ ,. <br /> ..� C"1M.S:,i�`t i� i'-;�'C'"t'4W�7..t i;r•+i`t.r�-' ,�,�.!E.i rvV,�'}�v'1 <br /> Squa�e Fciqtag�(if residential n�w eonstruction, remodel or adclitiQn �""�"` � <br /> ) �ar�tact Persan/Cpnt�ct�lumbar/Em�il <br /> Niir�b�r a�de�%i�ti� (If inve yolt�g�) <br /> aescri�tion of Wurk to Be Done: �=,�fL��':1^7C. L'1�(:" 5%�iV i rd " ` <br /> � �"'� � � l�,t j'��:'�1C.i�Y`�'�t�'J'u<:�_ �;}^.. (.:i�ri7..,,�. l <br /> �,n —__-------_� "-�." <br /> �_._A�?=��a`��._.�,�.:,�.1� j_ (�f� '�i�l� ��:`L t}.� + �l/\C�� ` 4 --� '�l>� �--- - { ,� <br /> - � ti ,� <br /> - _" ._.m r„_._. ".,�___._._ ____ <br /> ��� <br /> �I°i'Y 0�' �V�R�`fT L��AL�,4L�� 7'AX COD� f� 3'i05 �/��� � <br /> !!I <br /> !hereby certify that l have read and examb�ed fhis applicatian anclJ�now fhe same fo be b�ue and � <br /> cnrrect Al!prpvisions of laws and ordinances gaverning�his type of warlt wil!:�e eomplefed <br /> whether specified l�erein ornot The granting of a permi�doss.nof presume to give aufhorlty to p�RMIT# � <br /> violata or cancel the provisions of any other state or local law regulating canstructian or the <br /> p�rformance of consfrucFion. That�l am authonzed by fhe owner of tl�is pranerty to perform the � 1`� ,�,. �� <br /> work for which applicatron is made and(comply with the State Contractors Law 98.?7 RCW and 6 .J <br /> 296.2D0 WAC. <br /> � <br /> ,�.�� ;' . <br /> �,�� '-.'l . <br /> /.L� ;Z � i`-� ';• <br /> Siyriature �� � � Date��"—'—` � -"'�'—" <br /> � <br /> rteVrStpoaEas�2a•la �f�L�'�- "`rr(1 �:, �`�j't�j , <br />