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A��, 22. 2016 8;21AM <br />No, 3623 �. 2 <br />� � <br />ELECTRICAL PERMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERV�CES <br />3200 CEDAR STREET, EVERETT, WA 9820'i <br />425�257-8810 - FAX �-25-257-8857 — www.everettwa.org <br />�Lc2� �(Q� I�� <br />PROJ�CT ADDRESS • <br />J--��-� S a I�� �,�,�- � � <br />Ow11er Mail Address City 5tate2ip Phone <br />7enani <br />Mail ,Address <br />Ciry <br />State/Zip <br />Phone <br />G&S HEATING 3409 EVERETT AVE EVERE7�", WA 98201 425-252�4402 <br />Electrical Contractor Mall Address City State/Zip Phone <br />GSSHTGSH939RK 019685 <br />State LicenSO Number (required) City of Everett Business License Number (required) <br />�_ <br />RESIDENTIAL <br />Proposed Use of Suilding <br />Square Footage (If residential new construCtion, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: <br />CITY OF EVERETT LOCAL SALES TAX CODE lS 3905 <br />- � Sv� , <br />Contract price of Work <br />DAWN WEIMER 425-252-4402 <br />Contaci Person/Contac4 NumbeNEmail <br />Ij <br />I hereby cartify that 1 have read a»d examined this applicafion and know the same to be true and <br />co�rect. All provisions of laws 8nd ordinances goveming fhis type of work wr/I be completed <br />wh�the� specifred herein or not. The granting of a permit does not presume fo give authonty ta <br />violate or cancel fhe provisions of any ofher sfate or local law regulating construcfion or the <br />performsnce of consfrucEion. Thsf 1 am auti�orized 6y fhe owner of this property fo perl`orrn the <br />work for whlcf� applicafion is made and I comply wifh fhe Sfsfe Contracfors Law 98.27 RCW and <br />296,200 WA� _ <br />at��e <br />REVISED OB/t?�014 <br />Date <br />L� <br />FEE <br />� S.c� � <br />PERMIT# <br />E ���� � ���—�i <br />