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Ap r, 1, 2016 8: O 1 AM <br />No.2446 P. 2 <br />� � <br />ELECi�1CAL PERM�T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320� CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 � FAX 425-257-8857 — www.everettwa,arg <br />�Q�.Z--� ���� �i�- ��� <br />PROJ�C7 ADDRESS <br />�-�S� UL�c�vl���.�--_..__ �'����� �s� f�(���: ` ���..-��-._._qSr,�d �'�.s-��I�-�.:��, <br />Owner Mail Address CiEy State/Zlp Phone <br />Tenar�l <br />Mail Address <br />G&S HEATING 3409 CVERETT AVE <br />Clectrical Contr�ctor nnait Address <br />GSSHTGSH939RK <br />Sfate License Nun�l�or (roquire <br />R�SIDENTIAL <br />Nroposed Use of Buildf�i� <br />Cify <br />�VERETT, WA 98201 <br />--_. C�ty <br />._..:....__._. <br />Square Foofage (If residential new construr,tion, rernodel or addition) <br />Nurnber o# devicos (If low voltag <br />SfaieJ%ig <br />425-252-4402 <br />State/Zip <br />Phane <br />Phorie <br />_ 019sa5 <br />City of Everett Buslr�ess Ucense Nu�nher Q-equired) <br />Conlract Price of Work <br />DAWN WCIMER 425-252-�F402 <br />............. . ..: ........... <br />Contact Porson/Confact Number/Ertiail <br />Descriptfon of Work to Be Done: ���� ..(�14 I� (it�( ��: t�o (> "�J- �� ()O� ��� <br />CiTY OF EVERETT l�OCA� SALES TAX CODE 15 3105 <br />I hei�by ccrfify thal l Irave rearJ end exainnlocl this ��ppiir,;�liun sr�d !<now fhe same fa be truo ar�d <br />correcL All provisiorls of laws rjrfd c�rdir�a��ces goverrung tl�is typr, of wv�k w!I/ be c�nlplefec! <br />whcthr:rspec7(ied herein or�7ot. '1'ho grr�rrfr'rrg o!a �errttil does notp�r�sumo to givc ,Yuthc�rily (o <br />viol��to or canccl liie provisioi�s ot eny othor statc or Icyr.Hl I�w rec�ttlatin� construction or tl�c <br />per�orrnance ot constructiori. Thal l sm authorrzed hy thc owrrc-:r U(t��ls �ro��erfy fo ��erfor�m tho <br />work fi�r whicii appUc�fior� is r7�adc arid 1 corT���ly witi� the Sfato Contracton Law 18.27 RCW end <br />296.200 WAC. a <br />HtVI SFR Ottmd/zo 1? <br />FEE <br />�� � �� <br />P�RMiT# <br />E � 1�0�- �0� <br />