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ur, 2, 2016_ 7. �3A <br />No, 3447_P. 2 <br />ELECTRICAL PERMIT APPLICATION <br />C17Y OF EVERETT PERMIT SERVICES <br />3200 C�DAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />� �-{2� ��(-�� y�� V`�C./ <br />PROJECT AdDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />, �i <br />ZU( � Z� ' <br />State/Zip <br />State/Zip <br />' f I l�?- <br />Phone <br />Phone <br />G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 425-252-4402 <br />Electrical Contractor MaiE Address Ciky State2ip Phone <br />__ __ ._� .. <br />.. ._. .�_.. . .._ <br />._� <br />= �� �� G�SSHTGSH939RK � � 019685 <br />e Numbe�reqt�iredj�`� �ity of Everett Business License Number (required) <br />RESIDENTIAL `a. � � � <br />Proposed Use of Building Contraet Price of Work <br />Square Footage (ff resident�al new constructi0n, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work io Be Done: i'—'�1v\ a�' <br />GITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />DAWN WEIMER 425-252-4402 <br />Contact Person/Contact Number/Email <br />I hereby certify that I have read and examined this application and know the same to be frue and <br />correct. AlI provisions of /aws and ordinances goveming fhis type of work will bs completed <br />whether specified harein or not. The granfing of a permit does not presume io give aulhority fo <br />violate or cancel the provisions of any otherstafe arlocsl law reg�lating construcfion orthe <br />performance Of Construction. That I am authorized by fhe owner of this property to perform fhe <br />work for which application rs �nade and 1 conrply with the State Contractors Law 98,27 RCW an0 <br />296.200 WAG. <br />�e <br />REv1S�D oeiaar107c <br />oa� <br />FEE <br />� � %�--n- <br />� _ <br />PERMTT# <br />E ���� ��1� <br />