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Jul. 27. 2016_ 3 : 26PM No. 3407_P. 2 <br /> • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425257-8857—www.everettwa.Org <br /> PROJECT ADDRES P, "r <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 425-252-4402 <br /> Electrical Contractor Mai[Address City State/Zip Phone <br /> GSSHTGSH939RK 019685 <br /> State License Number(required) City of Everett Business License Number(required) <br /> RESIDENTIAL ��!) .gnn.on <br /> Proposed Use of Building Contract Price of Work <br /> DAWN WEIMER 425-252-4402 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) , <br /> Description of Work to Be Done: ��d� �1`t✓ �QA,�)\C� <br /> FEF- <br /> CITY <br /> EFCITY OF EVERETT LOCAL SALE=S TAX CODE IS 3105 <br /> !hereby certify that 1 have read and examined this application and know the same to be true and <br /> • ' <br /> correct. All provisions of laws and ordinances goveming this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the O� I <br /> performance of construction. That I am authorized by the owner of this property to perform the (] <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296,200 WAC. <br /> L�Iso <br /> atu re Date <br /> REVISED 0610&2014 <br />