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�l, 26. 2016� 7:38A <br />No, 3391—P. 2 <br />� � <br />EL�CTRICAL PERMIT APPLICAT�ON <br />CITY OF EV�RETT I'�RMIT SERVICES <br />3200 CEDAR STR��T, EV�R��`f, WA 98201 <br />425-257-8810 - FAX 425-257-8557 -- www.everettwa.org <br />���1� W���� T1� <br />PROJECT ADDRESS <br />[� � c,Y �� i� r� i� � I��n�,,r� �� �t9�1�-l�.—� ��i/ �t� o—"i 10— 7,3� � <br />Owne� Mail Address City St�te/Zip Phone <br />Tenant <br />Mail Address <br />G&S HEATING 3409 EVERETT AVE <br />Electrical Contractor Maii Address <br />GSSHTGSH939RK <br />State License Number (required) <br />RESID�NTIAL <br />Proposed Use of Building <br />City <br />EVERETT, WA 98201 <br />City <br />Square Footage (If residential new construCtion, remodel or addition) <br />Number of devices (If Ivw vo[tage) <br />State/Zip Phone <br />425-252-4402 <br />State/Zip Phone <br />019685 <br />City of �verett Business License Num6er (required) <br />Contract Price of Work <br />DAWN W�IMER 425-252-4402 <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done; \)�( C�- � 1� � <br />GTY OF EVER�TT I,OCAL SqLES TpX CODE IS 3105 <br />I h�reby cerfify thst I have read and examined fhis application and know the same fo be true end <br />correct. All provisions of Isws and ordinances goveming fhis type of work wili be comp/sted <br />whether specified herein or not. The gr`antir]g of a permit does nof presume to give autho�ty to <br />violate or ca,7ce1 the provisions of any other sfate or local law regulstrng construction or the <br />performance of consfruction. That i am aufhorized by the owner of this property to perform the <br />work for which applicafion is made and 1 eomply with the State Contractors Law 15.27 RCW and <br />296.200 WAC. <br />. �Iti�l� <br />S�gnature Date <br />RevrsED o8/os/'zola <br />FEE <br />�� ,�� <br />PERMIT# <br />L 1 l.o'� �'i' `� � � � <br />