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May. 20. 2016 3 : 09PM No. 2948 P. 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www,everettwa.org A pkewkV <br /> CL&41,- K f <br /> PROJECT ADDRESS <br /> ' 10./\1\ U-0,- m 'vl k '\bus cb' State/Zi%jf, (-(112-AII I <br /> Owner � Mall Address City p Phone <br /> Tenant Mail Address City State/Zip Phone <br /> G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 425-252-4402 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> GSSHTGSH939RK 019685 <br /> State License Number(required) City of Everett Business License Number(required) <br /> RESIDENTIAL <br /> Proposed Use of Building Contract Price of Work <br /> DAWN WEIMER 425-252-4402 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) 1� <br /> Description of Work to Be Done: <br /> FEF.. . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3905 �-1 2/ <br /> I hereby certify that I have read and examined this application and know the same to be true and •v <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the r ��I �� <br /> performance of construction. That I am authorized by the owner of this property to perform the C <br /> work for whic application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 W . <br /> 5-Vita <br /> signature <br /> REVISED 08/06/2014 <br />