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Mar, 8. 2U16 2:47PM � � No, 2143 P, 3
<br />EL�GTRICAL PERMIT A�PLICATRON
<br />CITY OF �VE�RETT PERMlT SERVICES
<br />3200 CEDAR STRCET, EVER�7T, WA �JII201
<br />425-257-8810 - �AX �25-257-8�57 —www.everettwa.org
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<br />PROJECT ADDRESS
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<br />Uwner
<br />'I'enant
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<br />Mail Addross c:i1y State/7.,ip Phone
<br />Mal1 Address
<br />G&S HEATING 3409 F_VEFZ��r�l- AVE
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<br />�lectrical Contractor Mail nddress
<br />GSSHTGSH839�2K
<br />Stdle Llcenso Number (requi�ed)
<br />R�SlI]�NTIAL
<br />I�o}�osed Use of Buikding
<br />Clry
<br />EVFR�TT, WA 98201
<br />City_.... .._
<br />Syuafe Fool�ge (!f nasidential neW COt1SlYUCUon, romodol or additiort)
<br />Number of devlces (Ef low voltago)
<br />StHfelLip
<br />425-252-4402
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<br />Statc/Zlp
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<br />E�hono
<br />D19685 . _ _
<br />City of �verelt Business I..icc�nse Number (requiied)
<br />Contract Prico of Work
<br />DAWN WEIMER 425-252-4402
<br />Co�itact Person/Cont��ct Number/Finail
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<br />Descnption of Work to t3e Done: � [; �.; �, � l }(',. . , 1.;�' • � z I �'�' ,' .:! �.....; � 'L ; � , i- .._
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<br />CITY OF EVERETT �OCAL SALES TAX CODE IS 3106
<br />r ne,&�y oe�trry rn�t � n,�ve rebd tt�ld examin�d fhis �pplicatrolt Nrld ktlow thA s�mr, to be true arld
<br />cor�roct. �lll provlslons of I��WS and ordi��snce5 �JUVb171i17� f/T!S lypn of worls wil/ be C011TJ�1BfeU
<br />whelhe� speClflod hcmin or nof. Ti78 C�I�v7tlr�y of a permif does nof (�l�sl!!n[a tn givc authorrty (o
<br />viotafc or cancel (he provisions of �ny other sla(s a�local law mgulating cvnsliuclion a� f/la
<br />�erformance of r,onstrur.fion. Tha! 1 am authorizr.d by the owner of this proporfy tn perforrn tire
<br />wor{t for whlch ;�ppllca(ion is mado ��r�d I cornply wifh fhe St��fe Con�rsctors Caw 18, 27 RCW �ncl
<br />29G.20D WAC.
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<br />PERMTI #
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