Laserfiche WebLink
Feb, 1, 2017_ 9 ; 16A�V� No, 478R_P. 1 <br /> � <br /> ELECTRICAL PERMIT APPLICATION � <br /> CITY OF EVER�TT PERM�T SERV�CES '� <br /> 3200 CEDAR STREET, EVER�TY, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 2��2 �U-.�c�.�ve�.� ��I 1.d� <br /> , <br /> PROJECT ADDRESS <br /> �G� �,�,�o,u �SYi 2 �r.c.v►�.c n,�p � �e1�� �l�T� Z�Cp —33�-._� <br /> OWnef M&il Atldfe55 City State/Zip Phone <br /> Tenant Mail Address City Stats/Zip Phone <br /> G&S HEATING 3409 EVERETT AVE EVERETT, WA 98201 425-252-4402 <br /> EIeCt�iCal COntraCtor Mail Address Clty State/Zip Phone <br /> GSSHTGSH939RK 019685 <br /> State License Number(required) City of�veret�Business License Number(requiredj <br /> RESfDENTIAL �,� � 3� <br /> Proposed Use of Building Contract Price of Work <br /> DAWN WEIMER 425-252-4402 <br /> Square Fvotage(If tesidential new ConStruCtion, remodel of additi0n) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to 6e Done: �� � ��(��] l� ' �r� V� ���J/b15�-, � �Vl G,c°tytti�- <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE 15 3105 � �'O � <br /> I hereby certify that I heve read and examined this applicafion and know the same fo be frue and J <br /> corr�Ct. All provlsions af lsws and or�dinances goveming this type of work will be completed <br /> whefher specifrsd here�n ornot. The gr&nfing of a permif does nof presume to give authority to PERMIT# <br /> violafe orcancel the provisions of any otherstate orlocal law regulating construction orfhe <br /> performance of consfruction. That 1 am authonze�by the owner of this property to perform fhe E ��D Z� O�)� <br /> work fof whiCh 8pplicaEion is made and 1 comply with the Stafe Contractors Law 18.27 RCW and U <br /> 296.200 WAC. <br /> � <br /> Signa Dat <br /> RFVISEo oerosi2or4 ' <br />