Laserfiche WebLink
To. Page 2 of 2 20�5�07�14 21.17 51 (G�9T) '19�88574�96 From� David Wyatl <br />������lO��� ����' 6 �A �&���6'"6�,���1F <br />G4�'Y f��' ��/I�R�T�' P�FtP�6F �C�t�fI��S <br />3200 CEDAR STRGET, EVERCTT, VdA 98201 <br />425-257-Bfi10 - fAX425-257-8857—�v��tiv.everettwa.gov <br />�I --1 � —lS <br />r E �5��.�89 <br />��c3%,<.` 'f`ac��Pk C��i',- i�\I(�, ��'�:'�a-, LJ,��.�i'�"1.��'l <br />PROJECT ADDRESS <br />OYmCr hlallAolress Qty Slalc2ip Phone <br />..Ci(w�Pr�7 ,..�1��Jrc.n< r-`G��'ti`cror�cC�P��I�i ;���C ��%(��,(��.�_'�.. Ll.��l. L�`;•1C:)i�-�.�.J�S50 <br />�_____ _ ' <br />icnant hiatl Adarc;s Ciry Slale?ip Phono <br />Wyc.f-i- (_=fPt4ri;.. r <br />(-i,..=�1("' �: i�n.� �.LL, 'U(';. I�'ox'i"�' �';-�:�.t���P 1-�•,��j (,v���. ��I i�L'JL ��31•O�`}��-I-C( <br />Elechital Con�raclor h7aB Adtlre;s City State2�p Phone <br />i ..4�''.:1—i'T_%= �•� <' _�- � I_ <br />Slale License Number (requi�cd) <br />Use ot Buildiny <br />�quare Foolac�e (II re.airlential n�!:v cnnslrur.11on, ren.odel or aAdition) <br />� <br />Number o( devir.es (If inw voitage) <br />� -� .: � ' I.. ..� �e �L.. <br />City ol EvereU �usiness I.m.r.nse IJumher (requucd) <br />�' �, �r(^c:-• C"O <br />CoNfacl PncC ol Wo K . <br />'i-�;,,� C��y�, � �- C��-�.5� ;� ��c.-� � <br />L:� �^. �� � �;' C�� ' 1 G�: i 1 L�.. ri i �� C l�:ti._ <br />Conl ct PersoNContact Numb�il[mail <br />i <br />Descnption ot lNork to L3e Done: �_��� ;, i c•_� �.l.lp _' i�� G� C^c r� c� �\ r�rr;_- <br />�-' o n. + � 1-�� �.._. r� <br />v� <br />GITY OF EVEREIT LOCAL SALES TAX GODE IS 3105 <br />� I hereby r,�rUlp fhut 1 hovc read und ezam/ned (hi5 epplication end know Ihe ;ame to Ge frue and <br />. coaect AIlprovisions of /aws and ordinanms goveming ihis fype of work w�fl be r.ompleted <br />i u•hether specdied herein orna! f he g�anfing ol a pcRnif docs not oresumc fo giva aufhority to <br />vioiete orcaricti� fne p�uwsions o� any ouier s(ate or local Imv iegu�ahng cr,nsrn.ction o� �ne <br />' perlormance o/ cons7ucfien. Tba� 1 am au(honzed by the ownr.iol tlus pioperty fo pe�fonn U�e <br />' work lor vihlch. applicafion rs madc and I comply �vith fhv Sfafe Contrr�ctcrs la�v 18.27 RGIM ond <br />� .^.96.200 W�C. <br />., � <br />�� %; . t �� <br />i ,.—� Sig��me <br />� ,+.v,s��. rn:r;vor.: <br />/ <br />c"i_��� ��r� <br />� <br />��PC�t'�c.a.� �u <br />FFr. -- ------ <br />�����i <br />------ --- ..--, <br />PERI-0TT4 <br />_� I�� o��i - -) <br />