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Sep, 14, 2016 10; 14AM <br />No, 3772 F, 2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EV�RETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 9"0201 <br />425-257-88'[0 - �AX 425-257-8857 — www.everetkwa.org <br />2-� �� ���bY ��'� <br />PROJECT ADDR�SS <br />��N��r ?�o��w�F� Zo � e���V ��E ����' <br />Owner <br />Tenant <br />Mai1 Address <br />Mall Address <br />G&S H�ATING 3409 �VERETT AVE <br />Electrical Contracior Ma�i ACaress <br />GSSHTGSN939RK <br />State License Number (required) <br />RESID�NTIAL <br />Proposed Use of 6uilding <br />Ciiy <br />City <br />EVERETT, WA 98201 <br />City <br />��O �r <br />Square Footage (If residential new construction, remodel or addition) <br />J-- <br />Number of devioes (If low voltage) <br />��zc � 1-1 Z5 � ��o- ► <br />State/Zip Phone <br />State/Zlp Phone <br />425-262�402 <br />5tate/Zip Phone <br />a�9sa5 <br />City of Everett Business License Nurnber (requlred) <br />�5�ba <br />Gontract Prica of Work <br />DAWN WEEMER 425-252-4402 <br />Contact Person/Contact NumberlEmail <br />Description of Work to Be Done: }�d '� �)P �]�� �U C���S 1 1���� ��� r <br />CiTY OF �V�RETT LOCAL SALES TAX COD� IS 3103 <br />1 hereby certify that 1 hava read and examined this applicafion and know the same to be Prue and <br />correcf. All provisions oflaws and ordinances goveming thrs fype af wo�k wil( be completed <br />whether spacifred hereln ornot. The granting of a permrt does nof presume to yive auflionty fo <br />violate or cancel !he provisions of any ofher stafe or /ocel lew regulating construction or fhe <br />performance of consfruction. Thaf / am aufhorized by the owner of this property fo perform fhe <br />work for which a plicafion is made and 1 comply with the Stafe Confractors Law 18.27 RCW and <br />296.200 �C, ' <br />� ;- 9�iy ll� <br />FEVlSED Ofl/06�2014 <br />F�E <br />� 1� � °; <br />PERMIT# <br />E II�LC�'��� <br />