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Oc t, 10, 2016 1, 43PM <br />No, 3970 P, 1 <br />ELECTRICAL PERMlT APPLICATION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EV�RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org _ <br />� �`� ���� 1,��� � �� <br />�. _ � ���,,� �u, c��c� � i <br />S� �,� x <br />^ - <br />PROJECT AbDRESS <br />Owner <br />Tenant <br />Mail AddreSS <br />Malf Addr�ss <br />� pX l/U. ^-�-�'-�,, c,�.,tA_ �7,� � `1,4(� � <br />City State/Zip <br />Gity State/Zip <br />one <br />Phone <br />G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 425-252-4402 <br />Electrical Contractor Mall Address City State2ip Phone <br />GSSHTGSH939hK 099685 <br />State License Number (requlred) City of Everett Business License Number (raquired) <br />RESIDENTIAL <br />Proposed Use af Building <br />Square Footage (lf residential new construction, remadel or addition) <br />Number of devices ([f low voltage) <br />Description of Work to Be Done: <br />GITY OF EVERETT LOCAL SALES TAX COb� IS 3105 <br />� <br />11_ <br />Contract Price of Work <br />DAWN WEIMER 425-252��4402 <br />Contact Person/Contact Number/Email <br />I hereby certify that 1 have read and examined fhis application and know fhe same to be true and <br />correcf. All provisions of laws and orriinances goveming fhis type of work will be completed <br />whefher speciFBd herein or nof. The gr�nfing of a permif does r7ot presume fo give auth4nfy to <br />v;olate or cancel the provisions of any other sfate orloca! law regulating construction or the <br />perfo�tnar)ce of consfruction. That 1 am authorized by the owner of this property fo pertorm the <br />work for which applicetion is made and 1 comply wifh ihe Sfste Contracrors Law 18.27 RCW end <br />296,200 WAC ' <br />-- . i . 1 � , <br />re <br />FEVISED o8/oFv2o9a <br />Date <br />FEE <br />��. � <br />PERMIT#� <br />� lC�(�'0�52 <br />