Laserfiche WebLink
Se��. 13, 2016 3:42PM <br />No.37b2 P. 3 <br />ELECTR�CAL PERMIT APPL�CATION <br />CITY OF EVERE77 PERMIT SERVICES <br />3200 CEDAR STREET, EV�RETT, WA 93201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org ' <br />C` <br />�3 I �I �Zti �-I�L� 17� <br />PROJECT ApDRESS <br />Owner <br />Tenant <br />I N�JI�I(�K�✓I ��I UIEuJ <br />Mail Address <br />Mail Address <br />City <br />City <br />State/Zlp <br />,; <br />' '758�IyZi <br />Phone <br />Phone <br />G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 426�252-4402 <br />Efectrical Cantractor Mail Address Glry Siatelzip Phone <br />GSSHTGSH939RK 0'[ 9685 <br />State License Number (required) City of Everett Susiness License Number (required) <br />RESIDENTIAL <br />Proposed Use of Building <br />3i �0 �F <br />Square Footage (If residential new construction, remodel or addition) <br />� <br />Number of devices (lf low voltage) <br />Contract Price of Work <br />DAWN WEIMER 425-252-4402 <br />Contact Person/Contact Number/Email <br />Description of Work to 6e Done: l� [�� (L UI� '(� N� I'� �I�tS� �C��� �� <br />CITY OF �VERETT LOCAL SALES TAX CODE IS 31flb <br />I hereby certlfy thet I have read and examined this application and know the same fo be true and <br />correct. All provisions of laws and ordinancas governing Phis type of work will be completed <br />whether specifr'ed hereln or not, The granfing of a permlt does not presume to give authorrfy to <br />violaie or cancel the provisions of any other stafe o�local !aw regulating construction or fhe <br />performance of construction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 16.27 RCW and <br />296.200 WAC. <br />f.. <br />�I �3I �L� <br />REVlSED O5iD6/2074 <br />FEE <br />� �"J��.� <br />PERMIT# <br />E I(�nC�' f�� <br />