Laserfiche WebLink
Mar, 3. 2017_10: 32AM No, 4970_P, 2 <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 <br /> IA(o 0-394 Sl- <br /> PROJECT ADDRESS <br /> c � <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Meil Address City State/Zip Phone <br /> G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 425-25. 2-4402 <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> GSSHTGSH939RK 019685 <br /> State License Number(required) Cfty 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: G'r <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 qS I-- — <br /> I hereby certify that I have read and examined this application and know the same to be true and <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 1 <br /> performance of construction. That I am authorized by the owner of this property to perform the t <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Signature Date <br /> REVISED 06/06/2014 <br />