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,1un, 27. 2C16 12.29F'M �vo, 3173 P. 1 <br />_ � � � <br />ELECT�ICAL PERMIT,APPLICATION <br />CITY OF EVERETX PERMIT SERVICES <br />3200 CED�AR STREET, EV�RETT, WA 98201 <br />425-257-8810 � FAX 425-257�8857 — www.everettwa.org <br />�`�o� �� (�Rs� <br />PROJECT ADDRESS <br />� c1�cw� � <br />Owner <br />Ten�nt <br />;�,,� �°l0 c � <br />Mail Address <br />Mail Addless <br />C&S HEATING 3409 EVERETT AVE <br />Electrical Coniractor Mall Address <br />GSShITGSH939RK <br />State Licer�se Number (required) <br />R�SIDENTIAL <br />Proposed Use oi Buflding <br />cuv <br />City <br />EVERETT, WA 98209 <br />ciiy <br />Square �ootage (If residential new consfructlon, remodel or addition) <br />Number of devices Qf low voltage) <br />State/Zlp <br />Slate/Zlp <br />425-252-4402 <br />5tale/Zip <br />Phone <br />Phohe <br />Phone <br />019685 <br />City of Evereti Business License Number (required) <br />Contract Price of Work <br />DAWN W�IMER 425-252-4402 <br />Contact Parson/Contact Number/�mail <br />Description of Work to 8e Done: ��� � , j�, i� �� ��l S L�?li�{�Q_.P� �`6�( <br />G1TY OF EVERETT LOCAL SA�ES TAX CODE 15 3105 <br />1 he�by cerfify thaf I havg read and examined this appl7cailon and know the same iv be true and <br />corroct. A!1 provisions of taws and orCilnances goveming fhis type of woric will be completed <br />whether specified hereln or not. The c�ranting of a permit does nof prasUme fo ylve authority to <br />violste or cancel tho provisions of any other state or Ioc811aw reyulatiny constructlon or the <br />perfom�anCe of construction. That 1 arn suihorized by the ownerOfthls property to perform �he <br />work for wf�ich appliCatlon is made and 1 comply wlth the State Gontractors Law 98.27 RGW and <br />296.20o wAC, <br />_ _. Ca �� � �1�� <br />5ignalure <br />REVfSED 08/Uf✓2014 <br />FEE <br />���� <br />PERMLT# <br />�1���2" I�b�J <br />