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Feb, 10, 2017_ 4: 11FM No. 4834_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.everefwa.org <br /> PROJECT ADDRESS <br /> Owner Mall Address City State2ip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 425-252-4402 <br /> Electrics)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) <br /> Description of Work to Be Done; <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3109 <br /> I hereby certify that/have read and examined this application and know the same to be true and <br /> Correct. All provisions of laws and ordinances goveming 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 D� <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and <br /> 296,200 WAC, <br /> -Ij io(n <br /> Signature Data <br /> REVISED 08/062074 <br />